HomeMy WebLinkAbout05-3924
1872
Department of the Treasury - Internal Revenue Service
Form 668 (Y>( c > Notice of Federal Tax Lien
(Rev. Februarv 2004} -n.,. 0$- 3q;;t'{ r:;'tL
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #3 Ii, ;;'41 ,/'hv
Lien Unit Phone: (800) 829-3903 239802905
As provided by section 6321, 6322, and 6323 of the Internal Revenue CA- .;I.:2/,1
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made /2..- i (. (. "l'fJ,..
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 rlghU to
property belonging to this taxpayer for the amount of these taxes, and
additional penalties, Interest, and COSU that may accrue.
"'->
Name of Taxpayer STEVEN R DANNER e~
i .,~:. '. ,
RAYCOM {J, -h
-
Residence 125 LINDA DR ,
-.,-
MECHANICSBURG, PA 17050-1517
-',
-,
IMPORTANT RELEASE INFORMATION: For each assessment listed below. .
c)
unless notice of the lien is refiled by the date given in column (el, this notice shall, -
.- ,~
on the day follOWing such date, operate as a certificate of release as defined .
in IRC 6325(al, c.)
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refihng of Assessment
(a) (b) (c) (d) (e) (f)
6721 12/31/2001 25-1837287 10/11/2004 11/10/2014 12024.03
940 12/31/2001 25-1837287 07/05/2004 08/04/2014 289.88
Place of Filing
Prothonotary
Cumberland County Total $ 12313.91
Carlisle, PA 17013
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
27th day of July
2005
the
Signature
Title
ACS
(800) 829-3903
23-00-0008
(NOTE: Certifjcate 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, 409)
Part I - Kept By Recording OffIce
Form 668(Y)(c) (Rev, 2-20041
CAT. NO 60025X