HomeMy WebLinkAbout01-4254 I 4 9 9 Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien
(Rev. October 2000)
Lien Unit Phone: (800) 829-76.50 2'40177126 -~.
As provided by section 632J, 6322, and 6323 of the Internal Revenue
Code, we are dvin8 a notice that taxes (Includln8 Intarest and penalties)
have been assessed aplnst the followini~named taxpayer. We have made
a demand for payment of thb liability, but It remains unpaid. Therefore,
there b a lien b favor of the United States on aH property and rlfhts to
preperty belonging to thb taxpayer fiw the amount of these taxes, and ' -
addMonal penalties, incerest, and costs that may accrue. '..
Name of Taxpayer KIR~ J HACHIGI.~,-N ;
Residence 22 CHESTNUT ST ..
CAMP HILL, PA 17011-6603
unless notice of the lien is refiled by the date given in column (e), this notice shall,
in°n the day following such date, operate as a certificate of release as definediRc 6325(a).
Tax Period Data of Last Day for UnpaM Balance
Kind of Tax Ending Identifying Number Assessment Reflhs of Assessmant
(a)
040 12/3 /1997 370- s-6010 07/24/2000 08/23/20 0 488 .98
1040 12/31/1998 370-58-6010 07/2412000 08/23/2010 4466.81
PlaceofFiling
Prothonotary Total
Cumberland County 9348.79
Carlisle, PA 17013
This notice was prepared and signed at PITTSBURGH, PA , on this,
the 04th day of July 2001
Signature " I Title
I
ACS 23-01-0000
for P S LANE (800) 829-7650
(NOT~: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien
Rev. Rul. 71-466. 1971 - 2 C.B. 409) Form &&8(Y)(c) (Rev. 10-00)
Part I - Kept By bcordlnl Office CAT. NO 60025X