HomeMy WebLinkAbout05-5853
1872
Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien
(Rev. February 2004) m, 6 <( - nS'3 r:-TL
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINEss/sELF EMPLOYED AREA #3 ilL Iff e PI.i...'IiJ
Lien Unit Phone: (800) 829-3903 256496105
As provided by section 6321, 6322, and 6323 of the Internal Revenue Ck. ,/772-'
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made Ro- ;1t'JtJ/
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 DAVID W LYONS
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Residence 4600 GETTYSBURG RD APT B ~ -l
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MECHANICSBURG, PA 17055-4394 - "";;'" rnr.-
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, ~' ..)rj
:::1:',
unless notice of the lien is refiled by the date given in column (e), this notice shall, 2' ~;.2fS
on the day following such date, operate as a certificate of release as defined '. ~
"
,- N ;srn
in IRe 6325(a). - ~.:~
---,
._; .-',!
Tax Period Date of Last Day for Unpaid<8alan"le
Kind of Tax Ending Identifying Number Assessment Refihng of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2003 182-50-6635 03/28/2005 04/27/2015 10535.37
Place of Filing
Prothonotary
Cumberland County Total $ 10535.37
Carlisle, PA 17013
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the
28th day of October
2005
for L LEDER
tl fI'~
Title
ACS
(800) 829-3903
23-00-0008
Signature
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validitv of Notice of Federal Tax lien
Rev. RuL 71-466,1971,2 C.B. 4091
Part 1 - Kept By Recording Office
Form 668(Y)(c) (Rev. 2-20041
CAT. NO 60025X