HomeMy WebLinkAbout04-5372 Form &&8 (¥)(¢) ~~-~'~artment of the Treasury - Internal gvenue Service
,,.. ..br..,. Notice of Federal Tax Lien
Area: ~....-. ~.~ - ..... ) '-/-
uen unit Phone: (800) 82~-7~50 ~~4~n~.~ I ~ ~ z/~.~
~ ..._ _ ~. . . 6... ~. ~,~ ..[e~ K~eRae ~ ~ ~
~--., w~ ~e ~m~ a n~ ~t ~xes (Includln~ inter~t and ~naltles) "~ -
~ ~emd ~a~t ~e.~ll~n~med ~r. We ~e rode ~ /~C
_. . m me UHI~ ~tes ~ all pm~ and ~h= m ,-.%
~W De~on~ns co ~b m~r for ~e am~nc ~ th6e uxes, and '
~dlti~al ~naldes, Inter~t, and cosu that m~ ac~e.
ame of Taxpayer G~O~R~S ~UDSO~ ~'.: [.., .
Residence 231 ~ Ay~ ~p~ ~3 ~.. ·
~HO~, P~ 170~3-19~9
~RTA~ REL~E INFO~AMON: Pot each assessment listed below, "'
unless notice of the lien is reft/ed by the date g~ven in column (e), this notice
on the day following such date, operate as a ce,ificam of release as defined
in IRC G325(a).
T. Peri~ hie ~ ~t D~ f~ Un~M Bahnce
Gad ~ Tax Endin~ Numbe~ ~se~ment R~lJn~ ~ ~ment
10~0 ~01-60-3938 0~/25/2007
10~0 12/31/199~ ~01-60-3938 06/0~/1998 07/01/2008 698.81
10~0 12/31/1998 ~01-~0-3938 D~/07/2003 05/07/2013 2909.52
10~0 12/31/2001 ~01-60-3938 06/03/2002 0~/03/2012 79~.~0
10~0 12/31/2002 ~01-~0-3938 03/2~/2003 0~/23/2013 1991.00
10~0 12/31/2003 ~01-60-3938 05/2~/200~ 06/23/201~ 3153.27
PlaceofFiling ~
Prothonotary
Cumberland County
~ Carlisle, PA 17013 Total 9547.00
This notice was prepared and signed at P~{ILADELPHIA, PA
, on this,
the 30th day of September 2004
12-00-0000
..... '--- 829-7 50
(NOT~ Certificate of officer authorized by law to take acknowledgment is not essentieJ to the validity of Notice of Federal ~
Rev. Rul. 71-466. f971 - 2 C.S. 409)
Pan I - Kept By Recordll~ Office Form &&B(Y)(c) )Rev. 2-2004)
CAT. NO 60025X