HomeMy WebLinkAbout05-2534
1872
Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien
{Rev, February 2QQ4} l10 0 <;'. ,) ~., '{ r-Tt.....
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #3 fd" (~t ! /y.u',)
Lien Unit Phone: (800) 829-3903 225469405
As provided by section 6321, 6322, and 6323 of the Internal Revenue C.k..-JOc,{
Code, we are giving a notice that taxes (including interest and penalties) /~'" /1..'1133
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. (j ""'
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Name of Taxpayer WAYNE L GIBSON - C;) "T,
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Residence 428 JENNIFER DR -- ..)(;3,
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NEW CUMBERLND, PA 17070-3040 -
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IMPORTANT RElEASE INFORMATION: For each assessment listed below, c::.\
unless notice of the lien is refiled by the date given in column (e), this notice shall, GO
on the day following such date, operate as a certificate of release as defined GO
in IRC 6325(0).
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refihng of Assessment
(a) (b) (c) (d) (e) (f)
1040 12(31(1996 201-60-3659 05(25(1998 06(24(2008 268.12
1040 12(31(1997 201-60-3659 06(01(1998 07(01(2008 1795.82
1040 12(31(1998 201-60-3659 06(07(1999 07(07(2009 1682.71
1040 12(31(2002 201-60-3659 09(15(2003 10(15(2013 288_75
1040 12(31/2003 201-60-3659 11/08/2004 12(08(2014 977.26
Place of Filin9
Prothonotary
Cumberland County Total $ 5012.66
Carlisle, PA 17013
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
28th day of April
2005
the
Signature
Title
ACS
(800) 829-3903
23-00-0008
for L LEDER
(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. 4091
Part . - Kept By Recording Office
Form 668(Y)(c) IRev. 2-20041
CAT. NO 60025X