HomeMy WebLinkAbout05-2533
1872
Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien
(Rev. February 2004) 12<, 0'.;'. .) ~,) 3 FTi-
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINEss/sELF EMPLOYED AREA #3 I?t ./J1/' -'" 1'1.0'1)
Lien Unit Phone: (800) 829-3903 226053605
As provided by section 6321,6322, and 6323 of the Internal Revenue Ck 10'15 "
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following.named taxpayer. We have made ) Ivll3)....
a demand for payment of this liability, but it remains unpaid. Therefore, /cu.-.
there is a lien in favor of the United States on all property and rights to 0 """
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property belonging to this taxpayer for the amount of these taxes, and '':''-;~) -n
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additional penalties, interest, and costs that may accrue. -".~ --,
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Name of Taxpayer CARL JOHNSON - :.::
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Residence 304 WALNUT LN , -.
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CARLISLE, PA 17013-7820 ..
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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 fe), this notice shall.
on the day following such date, operate as a certificate of release as defined
in IRC 6325Ia).
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilmg of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/1999 205-42-4594 07/28/2003 08/27/2013 6899.50
1040 12/31/2000 205-42-4594 07/28/2003 08/27/2013 2375.66
Place of Filing
Prothonotary
Cumberland County Total $ 9275,16
Carlisle, PA 17013
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the
03rd day of May
2005
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. Rul. 71-466, 1971 - 2 C.B. 409)
Part 1 ~ Kept By Recording Office
Fo,m 668(Y)(c) IRev. 2-20041
CAT. NO 60025X