HomeMy WebLinkAbout01-3404 I 499
~ Department of the Treasury - Internal Revenue Service
Fora 668 (Y)(c) J ·
,,.,. o=,o,., ~. Notice of Federal Tax ben
Area: I Serial Number ! For Optional Use by Rscordin Office
,N?GS & TNV~STM~FI" AREA #2 I ,
I-ien Unit Phone: (800) 829-7650 I 2301.'75942 '~/~/-
· · ere ~wvnl~ a notice tlmt taxes (Incl,,din~ intere9~ and penalties) '
al~d~e bee.n ?~.sse4 apimt chh followlnB-named mXlmyer. We have ma4e
~b:em?nn .r.~ .pay~n. ent of chis Ihbllicy, but k remains unpaid. Therefore, -- o
ere u a ,ten In tavff of che United States on all proper~ and fishes to
I~...l~.rLT.belo~. p, t.o chi. mpayer for che ,monnt of these taxes, and
e,,aKIOna! penalties, Interest, mild cesta that may a(xree. ~'~
~ame of Taxpayer R GORDON HARGLERODE
Residence 12 LENWOOD PARK
SHIPPENSBURG, PA 17257-8800
1]4PORTA~rT RELF. A, SE INFORZ~A'nON: For each assessment listed below,
unless notice of the lien is refiled by the date given in column (e), this notice shall,
on the day following such date, operate as a certificate of release as defined
in iRC 63251a).
Tax Period hte of Last Day for Unpaid Babnce
Kind of Tax Endin8 IdentKyln8 NumberAssessment Refllln~ of A~sessment
(e) (b) (c) (d) (e) (f)
1040 12/31/1~S~ 15~-24-?G2~ 0~/2~/lSS~ 0~/28/200S 2~??.2~
10~0 12/31/lSS~ 1~S-2~-?~1~ 0S/27/1~ 0~/=~/=00~ 11~.SS
1040 12/31/1~96 15~-24-7614 05/26/.]9~? 06/25/2007 2120.23
10~0 12/31/']997 159-24-?~14 0~/25/1998 0~/24/2008 3057.43
Place of Filing
Prot~onot:a=y
Cumber'rand. County Total $
Car'l'Zsle, PA 17013 802~.85
This notice was prepared and signed at PITTSBURGH, PA
, on this,
the 28th day of May 2001
ACS 23-01-0000
for P S (800) 829-7650
(~OT~.: Cert;;;c;Lu of officer a~h.,;.~:l by law to take ackno~.;iG~.,,ent ia not essential to the validity of Notice of Federal Tax lien
Rev. Rul. 71-466, 1971 - 2 C.B. 409)
Pizt I - Kept By Recordln8 Office Form &&l(Y)(c) (Rev. 10-00)
CAT. NO 60025X