HomeMy WebLinkAbout04-5374 Form &&8 (¥)(¢) I 1872 Department of the Treasury - Internal Revenue Service
,Rev. February 2004) Notice of Federal Tax Lien
Area: Serial Number For Optional Use by Recording Office
s~u~t. ~usz~ss/sa~.F EMP~O~D ~,~ #3
Lien Unit Phone: (800) 8:29-3903 3.95715104
As ~[~,~-'-c~; by section &321, &$22, and 6323 of the Internal Ravenna
Code, we are siring 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 Ilea in favor of the United Stares on all property and HBhts to
property belonsJng to this taxpayer for the amount of these taxes, and !7: '7.-.~
additional penalties, Interest, and costs that may accrue.
Name of Taxpayer 3~'~'~t~¥ ~ & PATR~L~ A RUDISTT.~. ~'~. .,:;.-
Residence 159 P.E~T~M ~OT.T,OW RD . '-, ...
N~W~']'T.T.~, P~ 17241-9539 .,. F_. .....
I IHPORTANT RELEASE INFOIUqATION: For each assessment listed below, -
[ unless notice of the lien is refiled by the date g ven in column (e), this notice shall,
I ?ri the de*/ following such date, operate aa s certificate of release es defined
Kind of Tax Tax Period Date of Last Day for Unpaid Balance
Ending Identifying Number ~ssessment Reflllng of Assessment
(a) (b~) (c) (d~) (e) (f~)
1040 12/31/2000 189-60-2282 05/21/2001 06/20/2011 10527.15
Place of Filing
Prothonotary
Cumberland County Total
Carlisle, PA 17013
This notice was prepared and signed at PHILADELPHIA, PA
, on this,
the 12th day of October 2004
at r Title
ACS 23-00-0008
ED (800) 829-3903
(i~O~: Certificate of officer authorized by law to take acknow;e~,,,.,~t is not essential to the validity of Notice of Federal Tax lien
Rev. Rul. 71-466. 1971 - 2 C.B. 409)
Par~ I - Kept By Recordh~ Office Form 6&8(Y)(c) (Rev. 2-2004)
CAT. NO 60025X