HomeMy WebLinkAbout05-6727
1872
Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien
(Rev. February 2004) )) '- . o{'- &. 7.1. 7 FrL
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA # 3 flctc fJll'l'/ I'il
Lien Unit Phone: (800) 829-3903 263639305
As provided by section 6321, 6322, and 6323 of the Internal Revenue cJe_ /t 73
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made .a." I -1).) ~J
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 "-,
<,::: =, c;
Name of Taxpayer HELEN J MYERS C...:;;'1 -n
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Residence "'-, .,';""...
2300 MARKET ST -.J --,) '-~.
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CAMP HILL, PA 17011-4626 ~ ;. - ,
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, N ,-:-:;jT1
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unless notice of the lien is refiled by the date given in column (e), this notice shall, ,,.
CJ "'co
on the day following such date, operate as a certificate of release as defined \.0 :<
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 12/31/2000 227-48-8742 10/04/2004 11/03/2014 23964.68
Place of Filing
Prothonotary
Cumberland County Total $ 23964.68
Carlisle, PA 17013
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the
13th day of December
2005
for L LEDER
tl fI'~
Title
ACS
(800) 829-3903
23-00-0008
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