HomeMy WebLinkAbout06-4239
1872
Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien
(Rev. F=ebruaty 2004) flo.or.. <1.2 3 f FTL
Area: Serial Number For Optional Use by Recordina Office
SMALL BUSINESSlsELF EMPLOYED AREA #2 /let. t0r '19,</tJ
Lien Unit Phone: (800) 913-6050 303756506
As provided by section 632t, 6322, and 6323 of the Internal Revenue c..It.. {,$lJS
Code, we are giving a notice that taxes (Ineludlnglnterest and penalties)
have been assessed against the following-named taxpayer. We have made ~ J fd 11/
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 c:,'
property belonging to this taxpayer for the amount of these taxes, and c
additional penalties, Interest, and costs that may accrue. .- .~
Name of Taxpayer REBECCA L GRAY h"i
:,,)
'- . "
Residence -"--.
205A WALNUT LEVEL RD APT 3 ..
-
NEW CUMBERLND, PA 17070-2800 ,
, '. ~
["-.) .....:...1
IMPORTANT RELEASE INFORMATION: For each as....ment Ii.ted below, e:. .<
unless notice of the lien i. refiled by the date given in column Ie), this notice shall,
on the day following .uch date, operate as a certificate of release as defined
in IRe 6325(a).
Tax Period Date of Last DI for Unpaid Balance
KInd of Tax Ending Identifying Number Assessment Refl nl of Assessment
(a) (b) (e) (d) (e) en
1040 12/31/2002 XXX-XX-8446 11/03/2003 12/03/2013 4239.00
1040 12/31/2004 XXX-XX-8446 05/30/2005 06/29/2015 3493.83
Place of Filing
Prothonotary
Cumberland County Total $ 7732.83
Carlisle, PA 17013
This notice was prepared and signed at
DETROIT, MI
, on this,
the
19th day of July
2006
for GEORGE WEINHOLD
Title
TXPYR RES REP
(717) 221-3490
11-07-1405
Signature
(NOTE: Certificate of officer authorized bV law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien
Rev. Rul. 71-466, 1971 - 2 C.8. 409)
Part , . Kept By Iletord"'" OffIce
Form 668(Y)(c) (Rev. 2-2004)
CAT. NO 60025X