HomeMy WebLinkAbout05-2531
1872
Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien
(Rev. February 2004) -rLo.os'. J)'3 I FrL
Area: Serial Number For Optional Use by Recording Office
WAGE & INVESTMENT AREA #2 {)AP.Lj'j 611,00
Lien Unit Phone: (800) 829-7650 225210305
As provided by section 6321, 6322, and 6323 of the Internal Revenue /
Code, we are giving a notice that taxes (including interest and penalties) Q /0<;5
have been assessed against the following.named taxpayer. We have made {2t.V 11,'1/30
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 DALE G BEERS
(j ~,'
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CJ, -n
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Residence PO BOX 266 .--."
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BOILING SPRGS, PA 17007-0266 - -c-'
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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, -r
- ,
on the day following such date, operate as a certificate of release as defined C)
in IRC 63251a). ::'! C'..:> 0:3
Tax Period Date of Last Da.r. for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refi 109 of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2000 191-38-6818 05/17/2004 06/16/2014 6B777,89
Place of Filing
Prothonotary
Cumberland County Total $ 68777.89
Carlisle, PA 17013
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the
27th day of April
2005
for P SLANE
Title
ACS
(800) 829-7650
12-00-0000
Signature
(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 t - Kept By Recording Office
Form 668(Y)(c) IRev. 2-20041
CAT. NO 60025X