HomeMy WebLinkAbout05-4294
1872
Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien
(Rev. February 2004)
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #3 D5- tf.).q"l P7<- --1
Lien Unit Phone: (800) 829-3903 243016705
As provided by section 63'2', 63'22, and 63'23' of the Internal Revenue
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the fOllowing-named taxpayer. We have made fdJrI'l- - 117
a demand for payment of this liability, but it remains unpaid. Therefc,re,
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: J:n 0
additional penalties, Interest, and costs that may accrue. I<
Name of Taxpayer ROBERT C & MARIE L JOLLIFF '" 77S-J
Residence 1201 DICKINSON DR
CARLISLE, PA 17013-4450
IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice of the lien is refiled by the date given in column tel, this notice shull,
on the day fOllowing such date, operate as a certificate of release as defined
in IRe 6325(8).
Tax Period Date of Last D';Y. for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Ref/ ng of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2000 514-09-6541 11/22/2004 12/22/2014 706.65
1040 12/31/2001 514-09-6541 12/27/2004 01/26/2015 690.99
Place of Filing
Prothonotary
Cumberland County Total $ 1397.64
Carlisle, PA 17013
~
This notice was prepared and signed at
PHILADELPHIA, PA
the
12th day of August
, on this,
2005
Signature
tZ f/'~
Title
ACS
(800) 829-3903
23-00-0008
for L LEDER
(NOTE: Certificate of officer authorized bV law to take acknowledgment is not essentiai to the validity of Notice of Federal Tax lien
Rev. Ru!. 71-466,1971 - 2 C.8. 409)
Part 1 . Kept By Recording Office
Form 668(Y)(c) IRev. 2-20041
CAT. NO 60025X
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