HomeMy WebLinkAbout05-3403
1872
Department of the Treasury. Internal Revenue Service
Form 668 (Y)( c) Notice of Federal Tax Lien OS'J103 3-fL. j
(Rev. February 2004\
Area: Serial Number For Optional Use by Recording Office
WAGE & INVESTMENT AREA #2 .pcJ. f1i -4P ('/, ~
Lien Unit Phone: (800) 829-7650 235029305
As provided by section 6321, 6322, and 6323 of the Internal Revenue C /9.7/
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made t( ,&, 5~7'lt
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 0 ';;:i\ ~\
additional penalties, interest, and costs that may accrue. c ~ -::t-<,
:,,~" 'e
Name of Taxpayer SCOTT B SINGISER '*,:~- rn h-.
r -0 'c"
\ -JJ .-
/. tJ'< "(~) t..>
(j)<' ..A_I"
~\:- -c:.~1'\
Residence 1101 LINDHAM CT APT 701 -v ~~~t
'\-~ I ~
MECHANICSBURG, PA 17055-5425 ~,~, <:)
r:- _,.r"
" ~'7j
~:: Q ::<'
IMPORTANT RELEASE INFORMATION: For each assessment listed below. ""- v:>
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(al.
Tax Period Date of Last Dad: for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refi mg of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2001 180-52-9700 05/10/2004 06/09/2014 33888.03
Place of Filing
Prothonotary
Cumberland County Total $ 33888.03
Carlisle, PA 17013
..Iwl.
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
28th 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. RuC 71-466.1971 .2 C.B. 4091
Part 1 . Kept By Recording Office
Form 668(Y)(c) {Rev. 2.20041
CAT. NO 60025X