HomeMy WebLinkAbout05-3558
1872
Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien
(Rev, February 2004) flJ> .0<; - ), < <:" f r::n
Area: Serial Number For Optional Use by Recording Office
WAGE & INVESTMENT AREA #2 fltjJj/J €J'/.trV
Lien Unit Phone: (800) 829-7650 236313205
As provided by section 632 t, 6322, and 6323 of the Internal Revenue ClLJ,),f9
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made ev. !&o:.d'
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 THOMAS ROBEY f: c:::> '11
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Residence 332 BONNYBROOK RD " ::10
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CARLISLE, PA 17013-9290 ~~::! ~~)
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, ...1.' N 0''1
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unless notice of the lien is refiled by the date given in column (e), this notice shall, c;:.",'
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on the day following such date, operate as a certificate of release as defined en -
in IRC 6325(a).
Tax Period Date of Last Da~ for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refl/ng of Assessment
(a) (b) (c) (d) (e) (f)
CIVP 09/30/2000 162-48-0090 11/04/2002 12/04/2012 5507.98
CIVP 12/31/2000 162-48-0090 11/04/2002 12/04/2012 7473.88
CIVP 03/31/2001 162-48-0090 11/04/2002 12/04/2012 5486.53
CIVP 06/30/2001 162-48-0090 11/04/2002 12/04/2012 5060.78
CIVP 09/30/2001 162-48-0090 11/04/2002 12/04/2012 3986.48
CIVP 12/31/2001 162-48-0090 11/04/2002 12/04/2012 2725.52
Place of Filing
Prothonotary
Cumberland County Total $ 30241.17
Carlisle, PA 17013
This notice was prepared and signed at
PHILADELPHIA, PA
,on this,
the
06th day of July
2005
for P SLANE
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. Rul. 71.466,1971 - 2 C.B. 409)
Pan: 1 . KepI: By Recording Office
Form 668(Y)( c) (Rev. 2-20041
CAT. NO 60025X