HomeMy WebLinkAbout05-6513
1872
Department of the Treasury - Internal Revenue Service
Form 66l! (Y)(c)
Notice of Federal Tax Uien
-----00'-1 Serial i\Jumber
I
I
As provided by section 6321, 6322. and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including interest and penalties:'
~ave tJeen assessed against the following-named caxp"yer. We have made
a demand for payment of this liability, but It remains unpaid. Therefore.
,here is a lien in favor of the United Sldtes 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.
262213LO~:;
~ 0 . (,.S/~__FLb.__..._
For Optional 'Jse. by Rec(1:,din(; CFfir;:;
,~ ..____...~"'*_..._~____.u___
/~ "' /VJ'i:l
mev. F-ebrua.y 2004)
Area:
WAGE & I~~JESTMENT AREA #""
l.ien Unit Phone: (800) 829-7650
Ck... 173..-'(
/'
;2u.., I /.2 0.2 !>
'-'.)
,,'
~lame o~- Taxpayer K.~[jI S :~ SCOTT
0E:sidence
237 0 E.N(~t.J\ RD
CARLISLE, PA 17013-86S3
n_u________~
IMPORTANT RElEASE: lNFORMATlON: I'U( e."~ e3se,Sr,'"", ;:'t"d bciow,
~nless nor iCe :If thE-: lier is n:::d:;le1 \)y~he .-jate giv13f'1 ir. :~OIt'iTII1 (.;l. thl~ ;":<:''[';co shal:,
on the day following such date, operate as a certificate of -release 3S df:fined
in IRe 6325(a).
,-"
KinO. of Tax
__,__ .ta)
"d:40
1 ~~1(1 ('
TdX Per,,,d I Da;e..f, I Last Day for I Unpaid Balance
Ending , Id.mtif)'inll NlImb~( i !'$sessment I R.efiling " i of ,Assl!ssm.m~
L:': 3 :~)2 0021'97 -~~) 816-l,'~t,05/2~~?2004 r--:')6i;~~-;2C-'; +----- (f;,65-:-;"'(C-
'2 'J:":';,'l.\1',J'1 -li,'~,-f/ 8"i,-,. ~(ll'"ir!'~I)'\'~ 1l~/1r::i'1()1~ : r',--,-r ,"',
.,_ " ~.J >, __'_O,-J I ' " 'J.''<: V..... I ,jJ _.....>;~. __.'1 j __:~';:)u. ,~,_,
i i !
I
P rUChOll'-.")L;:;l.ry
CL1mberl:::L!~d r:OI..Ul-i:y
Car::'isle, lOA 17(j13
,
,
i
I
t I I
I i I
u_~_ ----~-,L_--..-..-----nl,- ---, ---~ -----,-
,
"c:.1 is
_____. ___'. ", ..L._..._____u______..
!~ 2 ~. ~ "~ '7
!
,
,
I
I
....____~,_l___,_
P!ace nf Filin9
:-his noticf:; was i1re~.ared .mo signF.1J :n
PUlLAD~:-':LPH LA, '~Yp..
0:-; Tl'i:_~,
'he
_~~l'ld day "t
December
2005
S~na't""e --~~ddAJ tll-~ ] ~~~ ----..-. . ..__n____~/.~~;;:-~-~-,;~-
tor P S LANE (800~~S _!.'o:'i{) __._._________u
(NOTE: Certifica~e of ufficer authoriz~d by law to tak,,, acknowledgment is nO-L f:1$ser,-i.;;:1 to th.~ 1.'E,lk::['{ c~ t.JotICf' of :=~deral Tax lien
i>av. :-Iul. 71-466, 1 G7'1 - 2 C.B, 409)
Part 1 ~ Kept By Recording Office
;:orm 668(Y)(c) (Rev. 2-20041
CAT, NO 60025X