HomeMy WebLinkAbout02-1091
499
Department of the Treasury - Internal Revenue Service
Fonn 668 (Y)(c) Notice of Federal Tax Lien
I Rev. October 2000) 71A ().J ~ /091 Fr1-.
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #3 fJJ.. r q ./nJ (J 16
Lien Unit Phone: (41.2) 395-5265 230285266
As provided by section 6321, 6322, and 6323 of the Internal Revenue ck.- I ex.
Code, we are giving a notice that taxes (Including Interest and penalties) r2.u.- . I:U ,/.:L I
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 (') 0 C)
additional penalties, Interest, and costs that may accrue. C I" -I-j
~ :::'!l:
Name of Taxpayer DAVID L LONG -ocr.\ ::r...;t.
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Residence ~C) ~ , ,
275 CUMBERLAND PKWY BOX 111 >0 ';-'
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MECHANICSBURG, PA 17055-5677 ;;:;;:;n \,,<:) tSrVi
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, ,0 -<
unless notice of the lien is refiled by the date given in column (e), this notice shall,
on the day following such date, operate as a certificate of release as defined
in IRe 6325(a).
Tax Period Date of Last D~ for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refi ng of Assessment
(a) (b) (c) (d) (e) (0
941 06/30/2000 25-1854576 04/09/2001 05/09/2011 12688.70
941 09/30/2000 25-1854576 02/12/2001 03/14/2011 8874.15
941 12/31/2000 25-1854576 03/05/2001 04/04/2011 15614.45
Place of Filing
Prothonotary Total $
Cumberland County 37177.30
Carlisle, PA 17013
This notice was prepared and signed at
PITTSBURGH, PA
, on this,
the
25th day of February
2002
Title
REVENUE OFFICER
(717) 221 3490 x1290
23-08-1437
(NOTE: Certificate of officer authorized by law t
Rev. Ru!' 71-466, 1971 - 2 C.B. 409)
ake acknowledgment is not essential to the validity of Notice of Federal Tax lien
Pan t - Kept By Recording OffIce
Form 668(Y)(c) (Rev. 10-00)
CAT. NO 60025X