HomeMy WebLinkAbout05-5892
1872
Department of the Treasury - Internal Revenue Service
Form 668 (Y)( c) Notice of Federal Tax Lien It D ~ -Fe FT.
{Rev. February 2OO4} -". :J.- S '/cL L
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #3 Pd. P-'/I k !'f.UL'
Lien Unit Phone: (800) 913-6050 257311805
As provided by section 6321, 6322, and 6323 of the Interna) Revenue (k~ 1090
Code, we are giving a notice that taxes (including interest and penalties) I~</" mfJf
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 costs that may accrue. 0 ....,
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Name of Taxpayer DANIEL L HATTER f; en -'n
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Residence 3101 COLUMBIA AVE .. ~
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CAMP HILL, PA 17011-5223 " .".
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, -
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unless notice of the lien is refiled by the date given in column (e), this notice shall, cr~
on the day following such date, operate as a certificate of release as defined ""
in IRC 6325(a).
Tax Period Date of Last Dad, for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refi mg of Assessment
(a) (b) (c) (d) (e) (f)
941 06/30/2004 25-1656603 10/10/2005 11/09/2015 16129.83
941 12/31/2004 25-1656603 10/10/2005 11/09/2015 18845.58
941 03/31/2005 25-1656603 10/10/2005 11/09/2015 20942.50
941 06/30/2005 25-1656603 10/10/2005 11/09/2015 12590.97
Place of Filing
Prothonotary
Cumberland County Total $ 68508.88
Carlisle, PA 17013
This notice was prepared and signed at
PHILADELPHIA, PA
I on this,
the
02nd day of November
2005
for CINDY
a. fI'~
Title
REVENUE OFFICER
(717) 221-3490 x1220
23-06-1459
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.B. 4091
Part 1 - Kept By Recording Office
Form 668(Y)(c) IRev. 2-20041
CAT. NO 60025X