HomeMy WebLinkAbout05-3369
1872
Department of the Treasury. Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien
(Rev. February 20041 7,^ OS - :.<. 'I (. q r:-'Ti-
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #3 Pd.., P.<f( ') 'f,u'f;
Lien Unit Phone: {8 0 0 } 829-3903 234406505
As provided by section 6321, 6322, and 6323 of the Internal Revenue ck...!7:J-{}
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made ~ /i..'ft} 1:3
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. 0 '"
= 0
c =
Name of Taxpayer BRIAN H CAREY \?~J:_' c.n "
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Residence PO BOX 711 ~~( - 06
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NEW CUMBERLND, PA 17070-0711 "'tJ 7-=B
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, " i-~
unless notice of the lien is refiled by the date given in column (a), this notice shall, ::;J .r:- :u
, Ul .,
on the day following such date, operate as a certificate of release as defined
in IRe 6325(al.
Tax Period Date of Last D1. for Unpaid Balance
Kind of Tax Ending Identifyi~g Number Assessment Refi mil' of Assessment
(a) fb) c) (d) (e) (f)
CIVP 12/31/1999 189-46-7069 05/17/2004 06/16/2014 13484.30
CIVP 03/31/2000 189-46-7069 05/17/2004 06/16/2014 3517.26
CIVP 09/30/2000 189-46-7069 05/17/2004 06/16/2014 3200,57
CIVP 12/31/2000 189-46-7069 05/17/2004 06/16/2014 4171.74
CIVP 06/30/2002 189-46-7069 05/17/2004 06/16/2014 4203.51
CIVP 09/30/2002 189-46-7069 05/17/2004 06/16/2014 3811.38
CIVP 12/31/2002 189-46-7069 05/17/2004 06/16/2014 4152,56
CIVP 03/31/2003 189-46-7069 05/17/2004 06/16/2014 5701. 31
CIVP 06/30/2003 189-46-7069 05/17/2004 06/16/2014 6221.04
Place of Filing
Prothonotary
Cumberland County Total $ 48463.67
Carlisle, PA 17013
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the
23rd day of June
2005
Signature
Title
ACS
(800) 829-3903
23-00-0008
for L LEDER
(NOTE.: Certificate of officer authorjzed 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 1 . Kept By Recording Office
Form 668(Y)(c) IRev. 2-2004)
CAT. NO 60025X