HomeMy WebLinkAbout05-6004
1872
Department of the Treasury - Internal Revenue Service
Form 668 <Y)< c) Notice of Federal Tax Lien
(Rev. February 2004) 7u,. OS' - {. OV '( Fn...
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #3 Ii P..1( , /<i .<'1)
Lien Unit Phone: (800) 829-3903 259135305
As provided by section 632', 6322, and 6323 of the Internal Revenue Ur.. /P "
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the fOllowing-named taxpayer. We have made 12t""" /'1/iIv
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 ...., 0
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Name of Taxpayer SCOTT E SHIRK ':..",
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Residence 105 BUCHER HILL RD # 1 . - i
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BOILING SPRGS, PA 17007-9602 ::-~ .-"
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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, -,. ~~~j
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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 Refiltng of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2001 190-56-5845 05/31/2004 06/30/2014 4255.91
1040 12/31/2002 190-56-5845 05/31/2004 06/30/2014 8962.36
1040 12/31/2003 190-56-5845 05/31/2004 06/30/2014 8454.53
1040 12/31/2004 190-56-5845 08/01/2005 08/31/2015 5626.30
Place of Filing
prothonotary
Cumberland County Total $ 27299.10
Carlisle, PA 17013
This notice was prepared and signed at
PHILADELPHIA, PA
I on this,
the
11th day of November
2005
for L LEDER
af/~
Title
ACS
(800) 829-3903
23-00-0008
Signature
(NOTE: Certificate of officer authorized by Jaw 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