HomeMy WebLinkAbout01-4255 I 4 99 Department of the Treasury - Internal Revenue Service
Form &&8 (Y)(c) Notice of Federal Tax Lien
(Rev. October 2000)
Area: Serial Number For Optional Use by Recording Office
Lien Unit Phone: (800) 829-7650 230177159 --
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are ~vins a notice chat texes (including interest and penalties)
have been asse. ssed aplnst the fdlowlns-named uxpayer. We have made
a denund for payment of this IlaMIIty, lint it renulns unpaid. Therefore,
there is a Ben in favor of the United Sutes oil all property and fl~hu to ~,
property belonalns co this uxpayer fl)r the amount of these uxes, and : : .
additional penalties, Interest, and cost3 that may accrue.
Name of Taxpayer GRRALD W ~LTRK~.. SR
Residence 235 E ORANGE ST
SHIPPENSBURG, PA 17257-2005
I M
PORT&NI' RELEASE INFORMATION: For each assessment listed below,
unless notice of the lien is refiled by the date given in column (e), this notice shall,
Onin IRCthe 6325{a).day following such date, operate as a certificate of release as defined
Tax Period Date of Last Day for Unpaid Balance
Kind of Tan Endln8 Identlfyins Number AssF. sment Reflflns of Assessment
(a) (b) (c) (d) (e)
lO4O 12/31/1995 192-34-6870 12/14/1998 01/13/2009 2698.46
1040 22/31/1996 192-34-6870 12/07/1998 01/06/2009 2401.11
1040 12/31/1996 192-34-6670 06/07/:999 o7/o7/2oo9 1066.40
PlaceofFiling
Prothonotary Total ~
Cumberland County 6054.97
Carlisle, PA 17013
This notice was prepared and signed at PITTSBURGH, PA , on this,
the 04th day of July 2001
Signature " Title
ACS 23-01-0000
for P S I_~,~E (800) 829-7650
()dOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien
Rev. Rum. 71-466, 1971 - 2 C.B. 409) Form 668(Y)(c) IRev. 10-00)
Parr I - Kept By Recordln8 Office CAT. NO 60025X