HomeMy WebLinkAbout06-5569
3114
Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c)
Notice of Federal Tax: Lien
~,o,- s~{,q FrL
(Rev. February 2004)
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 317054206
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including interest 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 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 BETTY JEAN PIATT
For Optional Use by Recording Office
Ii. p -11 · / 4.IFt)
CJt... f f",J..;
~, If3Jo7
Residence
318 EMILY LN
NEW CUMBERLND, PA 17070-3141
o ~
c: <.:::> 0
<~ 0-- -n
.,.] fi'; en ::::f
SF r.,: C2 ffi ::n
fh ~; N -0 ::;;
_0 c.n:o 0
f~ f. ~ c:)
1i~~,'~,} ;j? ~ 11
0" ~. 3m
,~ ~
--- '. .~
Unpaid B3rance<
of Assessment
(f)
21578.11
87258.89
22146.03
IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice of the lien is refiled by the date given in column (el. this notice shall,
on the day following such date, operate as a certificate of release as defined
in IRe 6325(a).
Tax Period Date of Last Day for
Kind of Tax Ending Identifying Number Assessment Refihng
(a) (b) (c) (d) (e)
1040 12/31/1999 XXX-XX-3137 08/13/2001 09/12/2011
1040 12/31/2001 XXX-XX-3137 08/02/2004 09/01/2014
1040 12/31/2002 XXX-XX-3137 02/06/2006 03/07/2016
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $
130983.03
This notice was prepared and signed at
DETROIT, MI
, on this,
the 15th day of September, 2006
Signature
Title
REVENUE OFFICER
(717) 221-3490 x1300
22-06-1450
for JEFFREY WHITE
(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 1 - Kept By Recording Office
Form 668(Y)(c) (Rev. 2-2004)
CAT. NO 60025X