HomeMy WebLinkAbout06-2596
1872
Department of the Treasury - Internal Revenue Service
Form 668 (Y)( c) Notice of Federal Tax Lien
(Rev. February 2004) r~. M.- ,}~% FTL.
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2 & fJ-'I/ k I'f./!U
Lien Unit Phone: (800) 913-6050 285998206
As provided by section 6321, 6322, and 6323 of the Internal Revenue u... ;J:U{
Code, we are glvlng a notice that taxes (Including Interest and penalties) d2u.. /'11';10
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. c: <:> ~
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Name of Taxpayer JOHN A SIPE ;fliT ::z: ~~
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Residence 6280 CARLISLE PIKE LOT 506 et~
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MECHANICSBURG, PA 17055-5249 ~:;j
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IMPOkTANT RELEASE INFORMATION: For each assessment listed below, ~ .::- ~
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 IRC 6325(a).
Tax Period Date of Last Daa; for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refllng of Assessment
(a) (b) (c-) (d) (e) (I)
1040 12/31/2000 XXX-XX-7093 03/01/2004 03/31/2014 62621.88
1040 12/31/2001 XXX-XX-7093 08/02/2004 09/01/2014 51373.74
Place of Filing
Prothonotary
Cumberland County Total $ 113995.62
Carlisle, PA 17013
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 f - Kept By Recording Office
Form 66B(Y)(e) (Rev. 2-2004)
CAT. NO 60025X