HomeMy WebLinkAbout05-5417
1872
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
F'fL
Form 668 (Y)(c)
(Rev. February 2004/
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #3
Lien Unit Phone: (800) 9l3-6050 252707105
As provided by section 632 t, 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 cosu that may accrue.
Name of Taxpayer BRIAN E NOLL
For Optional Use by Recording Office
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Residence
65 W MAIN STREET APT 4
PLAINFIELD, PA 17081
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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 (e), this notice shall,
on the day following such date, operate as a certificate of release as defined
in IRe 6325(a).
(79
(.,)
C)
Tax Period Date of Last D'lt for
Kind of Tax Ending Identifying Number Assessment Refi ng
(a) (b) (c) (d) (e)
941 06/30/2004 94-3420036 06/20/2005 07/20/2015
941 09/30/2004 94-3420036 06/20/2005 07/20/2015
941 03/31/2005 94-3420036 06/27/2005 07/27/2015
Unpaid Balance
of Assessment
(f
2595.64
8708.82
4309.41
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $
15613.87
This notice was prepared and signed at
PHILADELPHIA, PA
. on this.
the
07th day of October
2005
for CINDY
tlll~
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. Ru!' 71-466. 1971 - 2 C.B. 4091
Part 1 - Kept By Recording OIIiee
Form 66B(Y)(e) IRev, 2-20041
CAT. NO 60025)(