HomeMy WebLinkAbout02-1852Form 668 (Y)(c)
(Rev. October 2000)
499
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
Area: I Serial Number
WAGE & INVESTMENT AREA #2
Lien Unit Phone: (800) 829-7650 230287256
As provided by section 6321, 6322, and 6323 of the InteFnal Revenue
Code, we are 8lying a notice chat Uxes (including imeresc and penalties)
have been assessed afalnst the following-named t~xpayer. We have made
a demand for payment of this IJaMlicy, but k remains unpaM. Therefore,
chore is a lien Jn favor of the Unked Suces on all propeFCy and Fi~hcs to
property belonsJng to this taxpayer for the amount of these uxes, and
additional penalties, interest, and costs that may accrue.
Name of Taxpayer THOleS W kDAIR JR
Residence 4113 ROSEMONT AVE
CAMP HILL, PA 17011-7819
IMPORTANT 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).
Kind of Tax
1040
1040
1040
1040
Tax PeHod
Ending
(b)
12/31/199z
12/31/1992
12/31/1993
12/31/1994
Identifying Number
(c)
204-64-8884
204-64-8884
Date of
Assessment
(d)
06/19/1995
05/29/1995
05/29/1995
05/29/1995
Place of Filing
For Optional Use by Recording Office
~.o~- If'dj_ F.T.I...
/~.~.cru t~-~
Last Day for RefllJng
(e)
07/19/2005
06/28/2005
06/28/2005
06/28/2005
Prothonotary
Cumberland County
Carlisle, PA 17013
Total
Unpaid Balance
of Assessment
697.94
1360.96
3602.02
1172.38
6833.30
This notice was prepared and signed at
PITTSBURGH, PA
· on this,
the 02nd dayof April 2002
#
Signatur/~-,.,// //~"% . I Title
for · (800) 829-7650
(NOTE: Certificate of officer authorized by law to t~facknowl'-dgment is not essential to the validity of Notice of Federal Tax lien
Rev. Rul. 71-466, 1971 - 2 C.B. 409)
Parc ! - Kept By Recording Office Form 668(Y)(c) (Rev. 10-00)
CAT. NO 60025X