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HomeMy WebLinkAbout05-5939 1872 Department of the Treasury. Internal Revenue Service Form 668 (Y)(c) Notice of Federal Tax Lien n. /\ (Rev. February 2004) I,. ,,'. SCJ39 r- rt Area: Serial Number For Optional Use by Recording Office WAGE & INVESTMENT AREA #2 ill. ~-fI 1/'1 ,,'"1 Lien Unit Phone: (800) 829-7650 258575905 As provided by section 6321, 6322, and 6323 of the Internal Revenue ck /.:13'1 Code, we are giving a notice that taxes (including interest and penalties) f2.u- have been assessed against the following-named taxpayer. We have made 17/ti03 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::;:;, 0 c.;:::> -i1 additional penalties, interest, and costs that may accrue. en """.~ -, ~ C) -"-11 Name of Taxpayer PATRICIA E NOLAN ..,:;.:: 11lf=O: 1"'"1': -- C"J (.7. - ~;';) Residence -rJ _\:1' 4714 TRINDLE ROAD -.- _.." ;c) MECHANICSBURG, PA 17050-3615 - , r-n i''o",:l ""' ~~._, f'~) ~i) IMPORTANT RELEASE INFORMATION: For each assessment listed below. u:) .< 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) 1040 12/31/2000 179-44-9183 09/20/2004 10/20/2014 28622.30 Place of Filing Prothonotary Cumberland County Total $ 28622.30 Carlisle, PA 17013 This notice was prepared and signed at PHILADELPHIA, PA , on this, the 09th day of November 2005 for P SLANE tl fI~ Title ACS (800) 829-7650 12-00-0000 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. 409) Part 1 - Kept By Recording Office Form 668(Y)(c) IRev. 2-20041 CAT. NO 60025X