HomeMy WebLinkAbout05-2829
1872
Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien
I Rev. February 2004) >t.e tJ,},- - ..:2. S.2 2. FrJ....
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #3 !JRW'I'/.t"U
Lien Unit Phone: (412) 395-5265 228761505
As provided by section 6321, 6322, and 6323 of the Internal Revenue ek.. 11tY1
Code, we are giving a notice that taxes (Including Interest and penalties) " fl.<< 701..,
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 LORI FURRY r.::'.") C)
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Residence 871 W KING ST I
SHIPPENSBURG, PA 17257-9201 - \'
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, ,". C) c., i'T
unless notice of the lien is refiled by the date given in column leI. this notice shall, ::~ .. ~..
on the day following such date, operate as a certificate of release as defined - :~
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in IRC 6325(a).
Tax Period Date of Last D1. for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Ref! ng of Assessment
(a) (b) (c) (d) (tl. (f)
941 09/30/2004 23-2931918 04/25/2005 OS/25/2015 1553.19
941 12/31/2004 23-2931918 04/11/2005 05/11/2015 1721.19
Place of Filing
Prothonotary
Cumberland County Tota' $ 3274.38
CarliSle, PA 17013
-
the
, on this,
This notice was prepared and signed at
19th day of May
PHILADELPHIA, PA
2005
Signature
Title
REVENUE OFFICER
(717) 221-3490
23-09-1459
for CINDY
(NOTE: Certificate of officer authorized by law to take acknowied9ment is not essential to the validity of Notice of Federal Tax lien
Rev. Ru/. 71-466, '971 - 2 C.8. 409) Form 668(Y)(c) IRev. 2-2004)
Pa" I - Kept By Recording OffIce CAT. NO 60025X
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