HomeMy WebLinkAbout02-0757Form 668 (Y)(c)
{Rev, October 2000)
499
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien 7b. o
FT-/-
Area:
SMALL BUSINESS/SELF EMPLOYED AREA #3
Lien Unit Phone: (800) 829-3903
230284462
Serial Number
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are 8Jvlng a notice that Uxes (including interest and penalties)
have been assessed against the following-named ~xpayer. We have made
a demand for payment of this liability, but it remains unpaid. Therefore,
there Js a lien in favor of the United Sutes on all property and rights to
pFoper~ belonstng Co this uxpayer for the amount of these ~axes, and
additional penalties, interest, and costs chat may accrue.
Name of Taxpayer KENNETH E & SHERYL C ICKES
Residence 33 BURGNERS MILL RD
CARLISLE, PA 17013-8961
IMPORTANT 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
in IRC 6325(a).
Kind of Tax
(a)
1040
For Optional Use by Recording Office
Place of Filing
Tax Period
Ending
(b)
12/31/2ooo
Identifying Numbel
(c)
184-56-9330
Prothonotary
Cumberland County
Carlisle, PA 17013
Date of
Assessment
(d)
08/06/2001
Last Day for
RefilJng
(e)
09/05/2011
Total
Unpaid Balance
of Assessment
(~)
5719.62
5719.62
This notice was prepared and signed at
the 05th day of February
Signatut~
PITTSBURGH, PA
2002
Title
ACS
, on this,
23-00-0008
(800) 829-3903
(~iOT~,: 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 &68(¥)(¢) (Rev. 10-00)
Part I - Kept By Recording Office
CAT. NO 60025X