HomeMy WebLinkAbout05-3347
3381
Department of the Treasury. Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax: Lien
(Rev. February 2004) ft.,,65'. ijCf1 FTL-
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #3 (Jd.., P-f! #/1utJ
Lien Unit Phone: (800) 913 -6050 233847605
As provided by section 63.21. 63.2.2. and 63.23 of the Internal Revenue CA- /(,/~
Code, we are giving a notice that taxes (including interest and penalties) /
have been assessed against the following-named taxpayer. We have made ~. /,.c pr;. ,
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 DARLENE S GODWIN ~ '- :r:!J
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Residence '.- 0 0
26 REGENCY SOUTH ~:: c.. -< .
CARLISLE, PA 17013 ""C~ " :-1:-d
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, 0 55
unless notice of the lien is refiled by the date given in column (e), this notice shall, ~ (.11 '<
on the day following such date, operate as a certificate of release as defined
in IRe 6325(a}.
Tax Period Date of Last Da.r. for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Ref! mg of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2003 166-54-6680 02/21/2005 03/23/2015 12708.89
1040 12/31/2004 166-54-6680 04/11/2005 05/11/2015 3824.00
Place of Filing
prothonotary
Cumberland County Total $ 16532.89
Carlisle, PA 17013
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
20th day of June
2005
the
for P S
Title
ACS
(800) 829-7650
12-00-0000
Signature
(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. 4091
Part I - Kept By Recording Office
Form 668(Y)(c) IRev. 2.20041
CAT. NO 60025X