HomeMy WebLinkAbout05-6728
1872
Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien
(Rev. February 2004) Ylo 0 s: G. ,}<2 g i-TL
Area: Serial Number For Optional Use by Recording Office
WAGE & INVESTMENT AREA #2 fJr!-. fJ'II hl'f ,cnJ
Lien Unit Phone: (800) 829-7650 263642805
As provided by section 63'2 f, 63'22, and 63'23' of the Internal Revenue CiL//,23
Code, we are giving a notice that taxes (including interest and penalties) e", //.;l.lY'f
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.
Name of Taxpayer TARRIN A CARPENTER
(') '"
C = 0
(~
;' . "-'" -11
Residence 338 N COLLEGE ST ('; , C1 --I
'" ::c
CARLISLE, PA 17013-1843 n r'liD
1',) ~'i~E
-.J
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, v ";, -: I
::r '>'?OS
on the day following such date, operate as a certificate of release as defined .',~.~ r:? ~_")rq
in IRe 6325(a), ;:::-'1
d"
Tax Period Date of Last DaJ; for Unpaid 1taland
Kind of Tax Ending Identifying Number Assessment Refi 109 of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2004 177-56-9243 05/30/2005 06/29/2015 1190.39
Place of Filing
Prothonotary
Cumberland County Total $ 1190.39
Carlisle, PA 17013
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the
13th day of December
2005
for P SLANE
a 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, Ru!. 71-466,1971 - 2 C.B, 4091
Pan 1 - Kept By Recording Office
Form 668(Y)(c) (Rev, 2-20041
CAT, NO 60025X