HomeMy WebLinkAbout05-4161
1872
Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien
(Rev. February 20Q4}
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #3
Lien Unit Phone: (800) 829-3903 241357605
As provided by section 6321, 6322, and 6323 of the Internal Revenue tJS - #/1./ F-rt-.
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made
a demand for payment of this liability, but it remains unpaid. Therefore, fd /'1. ...-
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 c: :;<iJ...?-
additional penalties, interest, and costs that may accrue.
Name of Taxpayer PAMELA J BURRIDGE t< i it; 7S"'r
Residence 222 S 1ST ST
LEMOYNE, PA 17043-1902
IMPORTANT RELEASE INFORMATION: For each assessment listed beiow,
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 IRC 6325(al.
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilmg of Assessment
(a) (b) lc) (d) (e) (f)
l040 12/31/1997 167-40-2480 07/06/l998 08/05/2008 3433.90
1040 12/31/2000 167-40-2480 12/24/2001 01/23/2012 5898.03
1040 12/31/2001 l67-40-2480 08/23/2004 09/22/2014 3358.92
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Place of Filing
Prothonotary
Cumberland County Total $ 12690.85
Carlisle, PA l7013
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This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the
03rd day of August
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 valjdity of Notice of Federal Tax lien
Rev. Ru!' 71-466. 1971 - 2 C.B. 409)
Part I . Kept By Recording OffIce
Form 668(Y)(<) IRev. 2-2004)
CAT. NO 60025X
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