HomeMy WebLinkAbout05-3754
1872
Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien 17 /, .~
(Rev. February 2004) 31 S4 1:',1
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Area: Serial Number For Optional Use bV Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #3 -Pct.. P'If ~ 1V.(}lJ
Lien Unit Phone: (800) 829-3903 237995205
As provided by section 6321, 6322, and 6323 of the Internal Revenue CIt. ::i s' 03
Code, we are giving a notice that taxes (including interest and penalties) L il.-(,}()~
have been assessed against the following-named taxpayer. We have made
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.
Name of Taxpayer ROBERT A MILLER
Residence 605 B AVENUE
ENOLA, PA 17025-1602
IMPORTANT RELEASE INFORMATION: For each assessment listed below,
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(a).
Tax Period Date of Last Dal. for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refi ng of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/1998 170-58-6457 03/01/2004 03/31/2014 69782.80
1040 12/31/2000 170-58-6457 03/01/2004 03/31/2014 100603.06
1040 12/31/2001 170-58-6457 08/02/2004 09/01/2014 12831.14
Place of Filing
prothonotary
Cumberland County Total $ 183217.00
Carlisle, PA 17013
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This notice was prepared and signed at
PHILADELPHIA, PA
I on this,
the
15th day of July
2005
Signature
Title
ACS
(800) 829-3903
23-00-0008
for L LEDER
(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. 4091
Pan I - Kept By Recording OffIce
Form 668(Y)(c) IRev, 2-20041
CAT. NO 60025X