HomeMy WebLinkAbout05-4860
12460
Department of the Treasury - Internal Revenue Service
Form 668 (Y)(C)
(Rev. February 2004)
Notice of Federal Tax Lien
11"'./J 5'- t/t(,6 p1TL
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #3
Lien Unit Phone: (800) 913-6050 247673805
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 JEFFERY A & SHARON A MAY
For Optional Use by Recording Office
-i?:l. PW' k / lJ. VI)
Ck ;2 J<(
12t./r. h f r6V
Residence
54 FAIRFIELD ST
CARLISLE, PA 17013-3145
0 '"
= 0
c = .."
<:.n
::11': ' C/) :r!
?,r f"T1 I'll :n
~r'.. -0 I
~.:' - " rn
-:06
w 9
, --,:I'i
-- -0 -- ,1
_. :r ~~ (")
C- Om
c -
-"/ .. ~
"'-
=2 - ::D
0 -<
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 IRC 6325(a).
Tax Period Date of Last Day for
Kind of Tax Ending Identifying Number Assessment Refibng
(a) (b) (c) (d) (e)
1040 12/31/2001 266-37-5700 09/23/2002 10/23/2012
1040 12/31/2002 266-37-5700 09/15/2003 10/15/2013
1040 12/31/2003 266-37-5700 04/25/2005 OS/25/2015
Unpaid Balance
of Assessment
(I)
2729.52
3211.99
4352.87
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $
10294.38
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the 10th day of September, 2005
Signature
a fI'~
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. 409)
Part j - Kept By Recording Office
Form 668(Y)(c) (Rev. 2-2004)
CAT. NO 60025X