HomeMy WebLinkAbout06-2748
1872
Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien
(Rev. February 2004) O~';:l 7'1 f FrL
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINEss/sELF EMPLOYED AREA #2 P.I-.P1f ,,<(.VII
Lien Unit Phone: (800) 829-3903 289070306
As provided by section 6321, 6322, and 6323 of the Internal Revenue C1c."~()i)
Code, we are giving a notke that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made ~. /779037
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 JONATHAN WORTHINGTON
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Residence 2995 RITNER HWY -r)li~ ::::JI: ~
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CARLISLE, PA 17013 -7445 ...._.Jo.. -oF;;
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, <C" ,_~Cl
J;;>o ~,_ -0 r"
unless notice of the lien is reflled by the date given in column (e). this notice shall, '-7"1 ::II: '):JJ
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on the day following such date, operate as a certificate of release as defined ~ 0
in IRe 6325(a). Z ';;!
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Tax Period Date of Last Da.r. for Unpaid Balance ~
Kind of Tax Ending Identifying Number Assessment Ref! ng of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2002 XXX-XX-5930 08/29/2005 09/28/2015 6092.70
Place of Filing
Prothonotary
Cumberland County Total $ 6092.70
Carlisle, PA 17013
This notice was prepared and signed at
DETROIT, MI
I on this,
the
05th day of May
2006
Signature
Title
ACS
(800) 829-3903
22-00-0008
for REGINA OWENS
(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.B. 409)
Part t - Kept By Recordlnl OtIlce
Form 668(Y)(c) IRev. 2-2004)
CAT. NO 60025X