HomeMy WebLinkAbout05-1161
1872
Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien
(Rev. .February 2004)
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #3 -11fs,/ F'tC
Lien Unit Phone: (41.2) 395-5265 215046905 OE;
As provided by section 632t, 6322, and 6323 of the Internal Revenue -1/1-.f .60 f)~
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made I)..~
a demand for payment of this liability, but it remains unpaid. Therefore, Ck..~
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 f~ -li-- 1L.14{)~
additional penalties, interest, and costs that may accrue.
Name of Taxpayer PATRICIA L ARNDT ".,
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Residence 3740 MARKET ST :~;J Illp
CAMP HILL, PA 17011-4325 , ?~1EJ
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, , ('JP5
unless notice of the lien is refiled by the date given in column (e), this notice shall, - , 23 ,~inl
on the day following such date, operate as a certificate of release as defined .r.:- 7:-.-
in IRC 6325(a). ~TJ
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Tax Period Date of Last DarT. for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refi 109 of Assessment
(a) (b) (c) Cd) (e) (f)
941 06/30/2002 23-2481482 09/02/2002 10/02/2012 3511,56
941 09/30/2002 23-2481482 12/09/2002 01/08/2013 3381.62
941 12/31/2002 23-2481482 03/10/2003 04/09/2013 3199,64
941 03/31/2003 23-2481482 11/29/2004 12/29/2014 5374,36
941 06/30/2003 23-2481482 11/29/2004 12/29/2014 5359,82
941 09/30/2003 23-2481482 11/29/2004 12/29/2014 6260.28
941 12/31/2003 23 -2481482 03/29/2004 04/28/2014 4315.53
941 03/31/2004 23-2481482 11/08/2004 12/08/2014 5928,02
941 06/30/2004 23 -2481482 10/18/2004 11/17/2014 6251.97
Place of Filing
Prothonotary
Cumberland County Total $ 43582.80
Carlisle, PA 17013
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the
18th day of February
2005
Signature
Title
REVENUE OFFICER
(717) 221-3490
23-09-1439
(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)
Part 1 ~ Kept By Recording Office
Fmm 668(Y)(c) IRev. 2-20041
CA T NO 60025X