HomeMy WebLinkAbout02-2099Form 668 (Y)(c)
(Rev. October 2000)
499
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
Area:
WAGE & INVESTMENT AREA #2
Lien Unit Phone: (800) 829-7650
Serial Number
230288218
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including Jntarest and penalties)
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 Sates on all p~opeFty and Fights to
pFopeFty belonging Co this taxpayer for the amount of these taxes, and
additional penalties, Interest, and costs that may accrue.
Name of Taxpayer SUZANNE L WORLEY
Residence 3 POCONO DRIVE
MECFJ~NICSBURG, PA 17055-5570
IIMPORTANT 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
6662
Tax Period
Ending
(b)
12/31/1999
12/31/1999
Identifying Number
(c)
168-58-0996
168-58-0996
Assessment
lO/22/2OOl
10/22/2001
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
For Optional Use by Recording Office
Last Day for
Retiring
(e)
11/21/2011
11/21/2011
Total
Unpaid Balance
of Assessment
11964.67
11964.67
This notice was prepared and signed at
PITTSBURGH, PA
, on this,
the 18th day of April 2002
Signature .-"A,, / /?~'--,,"' /I Tte
,/ Y/ /; L'i? .... ,/..I ACS 12-00-0000
(~IOTI:: Certificate of officer authorized by law to take ~:!~nowledgment is not essential to the validity of Notioe of ~ederal Tax lien
Rev. Rul. 71-466, 1971 - 2 C.8. 409)
Pa~ I - Kept By Recording ~ Form 660(Y)(c) (Rev. 10-00)
CAT. NO 60025X