HomeMy WebLinkAbout05-5854
1872
Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien
(Rev. February 2004) }L, (J \", YR\" r::-TI
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESs/sELF EMPLOYED AREA #3 fJ. - Pll . /'1,"'"
Lien Unit Phone: (800) 829-3903 256173405
As provided by section 6321, 6322, and 6323 of the Internal Revenue ere. L/ 772..)
Code, we are giving a notice that taxes (including interest and penalties) ~
have been assessed against the following-named taxpayer. We have made ;~)c ~oJ
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 C) ""
property belonging to this taxpayer for the amount of these taxes, and ~~ <:--'> 0
"-"':.~
additional penalties, interest, and costs that may accrue. <..n -n
-. -l
-",~
C) IT!
Name of Taxpayer R DOUGLAS IRWIN -'---. rn--
r-
- -"rn
, 0 ~~:l6
Residence ~ - -,
354 PARK AVE -".. ~; :::;-1
~- .:.;-:~ c5
NEW CUMBERLND, PA 17070-1338 N ;.:-;;n1
~,
.:-~.i
'" ,>
~:u
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 IRe 6325(a).
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refihng of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/1996 156-28-9701 06/02/1997 07/02/2007 5619.02
1040 12/31/1997 156-28-9701 06/01/1998 07/01/2008 6843.67
1040 12/31/2001 156-28-9701 06/03/2002 07/03/2012 6267.54
Place of Filing
Prothonotary
Cumberland County Total $ 18730.23
Carlisle, PA 17013
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the
27th day of October
2005
Signature
aff~
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. 4091
Part I - Kept By Recording Office
Form 66B(Y)(c) IRev. 2-20041
CAT. NO 60025X