HomeMy WebLinkAbout05-0692
1872
form 668 (Y)(C)
(Rev. February 2004)
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien 710 () 5- l, 12. r:T L
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #3
Lien Unit Phone: (800) 829-3903 210103605
As provided by section 632t, 6322, and 6323 of the Internal Revenue
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
property belonging to this taxpayer for the amount of these taxes, and
addItional penalties, interest, and costs that may accrue.
Name of Taxpayer SOUTHS IDE ASSOCIATES INC
% ROGER HOSFELT
For Optional Use by Recording Office
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Residence
112 BIG POND RD
SHIPPENSBURG, PA 17257-9022
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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 Ie), 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
CIVP
Tax Period
Ending
(b)
12/31/2000
Identifying Number
(c)
25-1820739
Date of
Assessment
(d)
09/29/2003
Last Day for
Refihng
e)
10/29/2013
Unpaid Balance
of Assessment
(f)
12216.28
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $
12216,28
This notice was prepared and signed at
PHILADELPHIA, PA
,on th
the
20th day of January
2005
Signature
Title
ACS
(800) 829-3903
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lief
- . "'1-466, 1971 ~ 2 C.B. 409}
23-00-0
Part . .. Kept By Recording Office
Form 668(Y)(c) IRev. 2-:
CAT. NO 600