HomeMy WebLinkAbout06-2595
1872
Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien
(Rev. February 2004) 11..e. (J{.. ,)5<15 r T l-
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2 &. iJ~' /'I.tr[)
Lien Unit Phone: (800) 913-6050 285998106
M provided by section 6321, 6322, and 6323 of the Internal Revenue elL. .;J:J('~'
Code, we are giving a notice that taxes (including interest and penalties) R.u.-. } 77 :SVI
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 -o~
additional penalties, Interest, and costs that may accrue.
Name of Taxpayer JOHN A & DONNA J SIPE 0,;/["
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Residence ~-,.
6280 CARLISLE PIKE LOT 506 :s: .."
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MECHANICSBURG, PA 17055 2.:~
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, W
unless notice of the lien is refiled by the date given in column (e), this notice shall, \0
on the day following such dateE operate as a certificate of release as defined
in IRe 6325(a).
Tax Period Dace of Last Dal. for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilng of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/1998 XXX-XX-7093 06/07/1999 07/07/2009 2484.14
Place of Filing
Prothonotary
Cumberland County Total $ 2484.14
Carlisle, PA 17013
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This notice was prepared and signed at
DETROIT, MI
, on this,
the
21st day of April
2006
Signature
Title
REVENUE OFFICER
(717) 221-3490
22-06-1408
for MIGNA RODRIGUEZ
(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. 409)
Part I . Kept By Recordl.... OffIce
Form 668(Y)(c) tRev. 2-2004)
CAT. NO 60025X