HomeMy WebLinkAbout05-2532
1872
Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien
(Rev. February 2004) 1lv 115,'- .) s' 3 .J j:: rl
Area: Serial Number For Optional Use by Recording Office
SMALL BusrNESS/SELF EMPLOYED AREA #3 Pet . (~Ch{ · /'(. U1J
Lien Unit Phone: (800) 829-3903 226053005
As provided by section 6321, 6322, and 6323 of the Internal Revenue ,-
[')vI{)9,)
Code, we are giving a notice that taxes (including interest and penalties) I~ . II- Yl31
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 JAY L ICKES
("") t'-~l
c:;:;, ,'~
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Con -T1
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Residence 391 TRAYER LN , .' fn~:)
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CARLISLE, PA 17013-9625 - --nC;-"
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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 - :<.i C}
in IRe 6325(a). .. 'f:
('.)
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refillng of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/1992 210-40-2481 03/04/1996 04/03/2006 635,12
1040 12/31/1999 210-40-2481 06/07/2004 07/07/2014 11363.40
1040 12/31/2000 210-40-2481 06/07/2004 07/07/2014 2127.83
Place of Filing
Prothonotary
Cumberland County Total $ 14126.35
Carlisle, PA 17013
This notice was prepared and signed at
PHILADELPHIA, PA
t on this,
the
03rd day of May
2005
Signature
Title
ACS
(800) 829-3903
23-00-0008
for L LEDER
(NOTE: Certificate of officer authorized by raw to take acknowledgment is not essential to the validity of Notice of Federal Tax lien
Rev. Rul. 71~466, 1971 - 2 C.B. 4091
Part 1 - Kept By Recording Office
Form 668(Y)(c) (Rev. 2-20041
CAT. NO 60025X