HomeMy WebLinkAbout02-2374Form 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
230289023
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including JnteFest and penalties)
have been assessed against the following-named taxpayer. We have made
a demand for payment of this Ilabriity, but Jc remains unpaid. Therefore,
there is a lien Jn favor of the United States on all property and rights to
property belonging to this taxpayeF for the amount of these uxes, and
additional penalties, interest, and costs that may accrue.
Name of Taxpayer JOHN M MOORE
Residence
447 C LEWISBERRY RD
NEW CUMBERLAND, PA 17070-2340
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).
For Optional Use by Recording Office
Kind of Tax
(a)
1040
Place of Filing
Tax Period
Ending
(b)
12/31/1992
Identifying Number
(c)
Date of
Assessment
(d)
Last Day for
Retiring
(e)
196-56-2535
09/08/2003
Prothonotary
Cumberland County
Carlisle, PA 17013
08/09/1993
Total
Unpaid Balance
of Assessment
(f)
5577.17
5577.17
This notice was prepared and signed at
PITTSBURGH, PA
, on this,
the 03rd day of May , 2002
Signature/'~// ~ /~1 Title
for P (800) 829-7650
(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) Form &&8(¥)(¢) (Rev. 10-00)
Part I - Kept By Recording Office CAT. NO 60025X