HomeMy WebLinkAbout05-4772
1872
Form 668 (Y)(C)
(Rev. February 2004)
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien J1/t AS' _ 1./1 7:L I-'r L
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #3
Lien Unit Phone: (800) 829-3903 246802805
As provided by section 6321, 6322, and 6323 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
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 KENNETH COLEMAN
For Optional Use by Recording Office
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Residence
54 NOTTINGHAM DR
MECHANICSBURG, PA 17050-2644
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IMPORTANT RELEASE INFORMATION: For each assessment listed below,
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 IRe 6325(a).
Tax Period Date of Last Day for
Kind of Tax Ending Identifying Number Assessment Refillng
(a) (b) (c) (d) (e)
1040 12/31/2001 141-64-9588 04/28/2003 OS/28/2013
1040 12/31/2002 141-64-9588 04/21/2003 OS/21/2013
1040 12/31/2003 141-64-9588 08/02/2004 09/01/2014
Unpaid Balance
of Assessment
(f)
3923.78
499.51
922.41
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $
5345.70
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the
06th day of
September 2005
,
for L LEDER
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Title
ACS
(800) 829-3903
23-00-0008
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)
Part 1 . Kept By Recording Office
Form 668(Y)(c) (Rev. 2-2004)
CAT. NO 60025X