HomeMy WebLinkAbout05-0363
1872
Department of the Treasury - Internal Revenue Service
Form 668 (Y)( c) Notice of Federal Tax Lien
lRev, February 2004) Yi".a,/-:3I.>. en
Area: Serial Number For Optional Use by Recofding Office
SMALL BUSINESS/SELF EMPLOYED AREA #3 H_ R11 ~ N.Gn,)
Lien Unit Phone: (800) 829-3903 207316004
As provided by section 6321, 6322, and 6323 of the Internal Revenue c.k- I J-.O (,
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made ~ /517,/2-
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
propertY belonging to this taxpayer for the amount of these taxes, and ,(] , ,
additional penalties, interest, and costs that may accrue. , .-1,
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Name of Taxpayer VALERY I FATCHENKO ~-r-
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Residence 12 S FILBERT ST C 14 .,
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MECHANICSBURG, PA 17055-6562 , -,'-
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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 IRe 6325Ia).
Tax Period Date of Last Day for UnJlaid Balance
Kind of Tax Ending Identifying Number Assessment Refillng of Assessment
(a) (b) (c) (d) (e) (f)
709 12/31/2002 908-17-9470W 10/20/2003 11/19/2013 28156.79
Place of Filing
Prothonotary
Cumberland County Total $ 28156.79
Carlisle, PA 17013
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the
31st day of December
2004
for L LEDER
Title
ACS
(800) 829-3903
23-00-0008
Signature
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien
Rev. Rut 71-466. 1971 - 2 C.B. 4091
Part 1 ~ Kept By Recording Office
Form 668(Y)(c) IRev. 2-20041
CA T. NO 60025X