HomeMy WebLinkAbout06-0170
1872
Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien
(Rev. February 2004) 71n,Of.' 1'76 P'rL
Area: Serial Number For Optional Use by Recording Office
WAGE & INVESTMENT AREA #2 4e_ ,u.€f ~/ro"
Lien Unit Phone: (800) 829-7650 265526305
As provided by section 632 t, 6322, and 6323 of the Internal Revenue Ck. /9c. 'f
Code, we are giving a notice that taxes (including interest and penalties) e 17",1"'1
have been assessed against the foIlowing-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. 0 '.:~::'> 0
S~ ~:.- .Y -n
(f_
Name of Taxpayer KEVIN M SCHADE ~ -:'
, c'
..,.,.-~ ,.;
--
Residence c'
PO BOX 63 -
SUMMERDALE, PA 17093-0063 ' ,
---.
C'""
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, r'o,^) ~~']
unless notice of the lien is refiled by the date given in column (e), this notice shall, r....] ,<
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 12/31/2000 191-64-6649 04/11/2005 05/11/2015 11049.61
1040 12/31/2002 191-64-6649 04/11/2005 05/11/2015 4793.95
Place of Filing
Prothonotary
Cumberland County Total $ 15843.56
Carlisle, PA 17013
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the
23rd day of December
2005
Signature
afl~
Title
ACS
(800) 829-7650
12-00-0000
for P S LANE
(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,8, 409)
Part 1 . Kept By Recording Office
Form 668(Y)(c) (Rev, 2-20041
CA T, NO 60025X