HomeMy WebLinkAbout02-2096Form 668 (Y)(c)
(Rev. October 2000)
Area: I
SMALL BUSINESS/SELF EMPLOYED AREA #3
Lien Unit Phone: (412) 395-5265 230288071
As provided by sec~lon 6321, 6322, and 6323 of the Internal Revenue
Code, we are ~ving a notice that axes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made
a demand for payment of this IiaMIky, but it remains unpaid. Therefore,
there is a lien Jn favor of the United Sutes on all property and rights to
proparW belonfing to this axpayer for the amount of these axes, and
additional penalties, interest, and costs that may accrue.
499
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
Serial Number For Optional Use by Recording Office
Name of Taxpayer MIC[A_~EL A CAP~HO
Residence
~/.~. O3 - ,.?.09(.,
28 S HANOVER ST
CARLISLE, PA 17013-3306
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
941
Place of Filing
Tax Period
Ending
(b)
o6/3o/1999
09/30/1999
12/31/1999
03/31/2000
06/30/2000
Identifying Number
(c)
25-1582440
25-1582440
25-1582440
25-1582440
25-1582440
Prothonotary
Cumberland County
Carlisle, PA 17013
Date of
Assessment
(d)
09/20/1999
12/27/1999
06/19/2000
10/16/2000
09/11/2000
Last Day for Unpaid Balance
Reft[lng of Assessment
(e) (f)
10/20/2009
01/26/2010
07/19/2010
11/15/2010
10/11/2010
Total
772.71
3239.55
11730.00
3919.36
3570.81
23232.43
This notice was prepared and signed at
PITTSBURGH, PA
, on this,
the 16th day of April 2002
for JANET
Title
REVENUE OFFICER
(717) 221-3490 x1220
23-08-1448
(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 I - Kept By Recording Office Form 668(Y)(c) (Rev. 10-00)
CAT. NO 60025X