HomeMy WebLinkAbout05-5112
1872
Department of the Treasury - Internal Hevenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien
(Rev. February 2004) "Yl.bos- 5//:L ~TL
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #3 ~, PJ/I r J'1.ui>
Lien Unit Phone: (800) 829-3903 249124005
As provided by section 6321, 6322, and 6323 of the Internal Revenue (A. S 7p
Code, we are givins a notice that taxes (Includins interest and penalties) ~ ,-
have been assessed against the following-named taxpayer. We have made If, 9J YJ
a demand for payment of this liability, but it remains unpaid. Therefor,e,
there is a lien in favor of the United States on all property and riahts 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 W & SHARON L SMITH (') ,...,
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Residence 304 SANDBANK RD , "'1J rnp
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MT HOLLY SPRINGS, PA 17065-1131 ~~':L Cl ~n t:J
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, =:::': i~5Ti
70
unless notice of the lien is refiled by the date given in column (e), this notice shall, '- ~ 3rr,
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on the day following such date, operate as a certificate of release as defined -" W
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in IRe 63251a), -.J -<
Tax Period Date of last Da.r. for Unpaid Balance
Kind of Tax Endins Identifying Number Assessment Ref! ng of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2001 196-48-2680 03/21/2005 04/20/2015 2186,35
1040 12/31/2002 196-48-2680 02/07/2005 03/09/2015 11529.18
Place of Filing
Prothonotary
Cumberland County Total $ 13715.53
Carlisle, PA 17013
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the 21st day of September. 2005
for L LEDER
~"(J.,,/
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, Ru!' 71-466,1971 - 2 C,8, 4091
Part j - Kept By Recording OIIIce
Form 668(Y)(c) IRev, 2-20041
CAT, NO 60025X