HomeMy WebLinkAbout05-5416
1872
Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien J1.ILtJ<;.5"f/("
(Rev. February 2004) ('TI-
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #3 J1JPW'/'iVD
Lien Unit Phone: (800) 913-6050 252706805
As provided by section 632 t, 6322, and 6323 of the Internal Revenue th-. /0..>.1
Code, we are giving a notice that taxes (including interest and penalties) ~~. 1& 9 in
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 C:..::> C)
r.;~'_ j "T1
additional penalties, interest, and costs that may accrue. CJI
0 --;-'
Name of Taxpayer MARK A MINNICH ('~l \'i'i
-
c:.)
Residence 300 HOLLAR AVE :=-";
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SHIPPENSBURG, PA 17257-2138 c::
~i
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IMPORTANT RELEASE INFORMATION: For each assessment listed below. -.J <
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 Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilmg of Assessment
(a) (b) (c) (d) (e) (f)
940 12/31/1998 25-1806931 06/27/2005 07/27/2015 19298.30
940 12/31/1999 25-1806931 06/27/2005 07/27/2015 383.26
940 12/31/2002 25-1806931 06/27/2005 07/27/2015 609.70
940 12/31/2003 25-1806931 04/26/2004 OS/26/2014 335.39
940 12/31/2004 25-1806931 06/27/2005 07/27/2015 1143.89
941 09/30/2002 25-1806931 OS/23/2005 06/22/2015 10748.11
941 12/31/2002 25-1806931 OS/23/2005 06/22/2015 7888.60
941 03/31/2003 25-1806931 OS/23/2005 06/22/2015 8097.87
941 06/30/2003 25-1806931 OS/23/2005 06/22/2015 8411.31
941 09/30/2003 25-1806931 OS/23/2005 06/22/2015 8211.02
941 12/31/2003 25-1806931 05/10/2004 06/09/2014 8073.98
941 03/31/2004 25-1806931 OS/23/2005 06/22/2015 8913 .10
941 06/30/2004 25-1806931 OS/23/2005 06/22/2015 9247.99
941 09/30/2004 25-1806931 05/30/2005 06/29/2015 9082.57
941 12/31/2004 25-1806931 OS/23/2005 06/22/2015 4473.42
Place of Filing
Prothonotary
Cumberland County Total $ 104918.51
Carlisle, PA 17013
This notice was prepared and signed at
PHILADELPHIA, PA
, on this.
07th day of October
2005
the
for CINDY
tl fI'~
Title
REVENUE OFFICER
(717) 221-3490
23-09-1459
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.8, 4091
Part 1 - Kept By Recording Office
Form 668(Y)(c) (Rev. 2-20041
CAT, NO 60025X