HomeMy WebLinkAbout02-2373499
Form 668 (Y)(c)
(Rev. October 2000)
Area: I Serial Number
WAGE & INVESTMENT AREA #2
lien Unit Phone: (800) 829-7650 230289019
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that uxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made
a demand for payment of this liabriJty, but it remains unpaid. Therefore,
theFe is a rien Jn favoF of the United States on all property and rights to
property belonging to this taxpayer foF the amount of these taxes, and
additional penaJtles, interest, and costs that may accrue.
Name of Taxpayer JESS A MIDDLETON
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien a ca F.
For Optional Use by Recording Office
Residence PO BOX 274
PLAINFIELD, PA 17081-0274
I I
MPORTANT 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). t
Tax Period Date of Last Day for
Kind of Tax Ending Identifying Number Assessment Retiring
(a) (b) (c) (d) (e)
1040 12/31/1998 366-74-7851 10/23/2000 11/22/2010
Total
Unpaid Balance
of Assessment
(f)
3055.15
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
3055.15
This notice was prepared and signed at
PITTSBURGH, PA ,onthis,
the 03rd day of May 2002
.~ ?
Signature 12-00-0000
for P S LANE ~-------"~'/~cI
(800)
829-7650
(NOTF,: Certificate of officer authorized by law to tak~knowledgment is not essential to the validity of Notice of Federal Tax lien
Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 668(Y)(c) (Rev. 10-00)
Pa~ I - Kept ~ R~rding ~ce CAT. NO 60025X