HomeMy WebLinkAbout05-3314
1872
Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien
(Rev. February 2004) n.o\'- 33/'-1 FTL
Area; Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #3 PL PJf( . Nuv
Lien Unit Phone: (800) 829-3903 233518305
As provided by section 632 t, 6322. and 6323 of the Internal Revenue Gk. .2 ?f1
Code, we are giving a notice that taxes (including interest and penalties) 12.-.
have been assessed against the fOllowing-named taxpayer. We have made / (,5 1"1 J
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. = ~
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Name of Taxpayer JOHN D JUDSON ;:gU; c.... ~::n
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Residence 504 ORRS BRIDGE RD :;::,,: --t9
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CAMP HILL, PA 17011-1445 ~~;~~ ::r. .':7"(")
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, r..0 55
unless notice of the lien is refiled by the date given in column (e), this notice shall, a -<
on the day following such date, operate as a certificate of release as defined
in IRe 6325(a).
Tax Period Date of Last D'R; for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Ref! mg of Assessment
(a) (b) (c) (d) (e) (I)
1040 12/31/2001 152-34-8388 11/15/2004 12/15/2014 5601.13
Place of Filing
Prothonotary
Cumberland County Total $ 5601.13
Carlisle, PA 17013
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the
17th day of June
2005
Signature
Title
ACS
(800) 829-3903
23-00-0008
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien
Rev. Ru!' 71-466,1971 - 2 C.B. 409)
Part 1 - Kept By Recording Office
Form 668(Y)(c) (Rev. 2-2004)
CA T. NO 60025X