HomeMy WebLinkAbout14-0070 11883
Form 668 (Y)(c) Department of the Treasury - Internal Revenue Service
(Rev. February 2004) Notice of Federal Tax Lien
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS /SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 829 -3903 975859613
As provided by section 6321, 6322, and 6323 of the Internal Revenue y '
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 all property and rights to ! C__
property belonging to this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs that may accrue. r,
Name of Taxpayer JOHN B HESS
Residence 145 WILLOW MILL PARK RD = _ -
MECHANICSBURG, PA 17050 - 1760``'
=6325 (a). LEASE INFORMATION For each assessment listed below _ _
lien is refilled by the date given in column (e ), this notice shall, " -,sue �pG�- /
ing such date, operate as a certificate of release as defined
)
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilling of Assessment
(a) (b) (c) (d) (e) (f)
CIVP 03/31/2008 XXX -XX -4168 10/26/2009 11/25/2019 22041.40
CIVP 06/30/2008 XXX -XX -4168 10/26/2009 11/25/2019 25783.97
CIVP 09/30/2008 XXX -XX -4168 10/26/2009 11/25/2019 12454.42
CIVP 12/31/2008 XXX -XX -4168 10/26/2009 11/25/2019 7747.48
Place of Filing
Prothonotary
Cumberland County Total $ 68027.27
Carlisle, PA 17013
This notice was prepared and signed at DET MI , on this,
the 26th day of December 2013
Signature Title
\ lQ_ ACS SBSE 22 -00 -0001
for P.A. BELTON (800) 829 -3903
(NOTE: 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 668(Y)(c) (Rev. 2 -2004)
Part 1 -Kept By Recording Office CAT. NO 60025X