HomeMy WebLinkAbout05-2827
1872
Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien
(Rev. February 2004) )'U. 0 <). ~ r.2 7 FrL
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #3 Pel. ()~' 'I'tt!u
Lien Unit Phone: (800) 829-3903 229018905
As provided by section 6321, 6322, and 6323 of the Internal Revenue Ck. IV 1
Code, we are giving a notice that taxes (including interest and penalties) , /i~1o'l
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have been assessed against the fOllowing-named taxpayer. We have made 0 =, .()
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a demand for payment of this liability, but it remains unpaid. Therefore, c.n -11
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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 -.- ,
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additional penalties, interest, and costs that may accrue. C~-'
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Name of Taxpayer JEFFREY A & PATRICIA A RUDISILL ~;:, '-~ :'T.:
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Residence - ~;:_J
159 BEETEM HOLLOW RD (,0 .-<
NEW VILLE, PA 17241
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
in IRe 6325(a).
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refihng of Assessment
(a) (b) (c) Cd) (e) <0
1040 12/31/2002 189-60-2282 12/13/2004 01/12/2015 2050.85
1040 12/31/2003 189-60-2282 11/22/2004 12/22/2014 5029.33
Place of Filing
Prothonotary
Cumberland County Total $ 7080.18
Carlisle, PA 17013
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
20th day of May
2005
the
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.8. 409)
Title
ACS
(800) 829-3903
23-00-0008
Pan 1 - Kept By Recording Office
Form 668(Y)(c) (Rev. 2-2004)
CAT. NO 60025X
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