HomeMy WebLinkAbout04-4245 Form 668 (Y)(c) I 1872
(Rev, February 2004)
Area: I Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #3
Lien Unit Phone: (8OO) 829-3903 186168504
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made
a demand for payment of this liability, but it remains unpaid. Therefore,
there is a lien in favor of the United States on ail property and rights to
property belonging to this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs that may accrue.
Name of Taxpayer DENNIS A & ROBYN A SEALOVER
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien ~L~.r~v- ~vs' c-fL
For Optional Use by Recording Office
Ck. //31
Residence PO BOX 1366
MECHANICSBURG, PA 17055-1366
511~PORTANT RELEASE INFORMATION: 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
(a)~ ~ ~ ~
Tax Period Date of
Kind of Tax
(a)
1040
1040
1040
1040
Ending
(b)
12/31/1996
12/31/1997
12/31/1998
12/31/2001
Identifying Number
(c)
162-48-2453
162-48-2453
162-48-2453
162 -48-2453
Assessment
(d)
05/26/1997
10/12/1998
06/14/1999
05/27/2002
Last Day for
Retiring
(e)
06/25/2007
11/11/2008
07/14/2009
06/26/2012
Prothonotary
Cumberland County
Carlisle, PA 17013
Total
Place of Filing
Unpaid Balance
of Assessment
(f)
337.77
2318.51
4633 . 16
4560.92
11850.36
This notice was prepared and signed at
the llth day of August
2004
PHILADELPHIA, PA
, on this,
Signat~ ~ ~
23-00-0008
..... .... .J. (800) 829-3903
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the vaJidit¥ of Notice of Federal Tax lien
Rev. Rul. 71-466, 1971 2C,B. 409)
Parr I - Kept By Recording Office Form 668(Y)(c) IRev. 2 2004)
CAT. NO 60025X