HomeMy WebLinkAbout01-5231Form 668 (Y)(c)
(Rev. October 2000)
Area: I Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #3
Lien Unit Phone: (800) 829-3903 230179287
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.
499
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
For Optiona~ Use by Recording Office
ol. 5',,23/ 7-L
Name of Taxpayer DAVID M PEFFER
Residence 104 BLOSERVILLE RD
CARLISLE, PA 17013-8935
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
(a)
Tax Period
Ending
(b)
12/31/1998
12/31/1999
Identifying Number
(c)
188-52-7666
188-52-7666
Date of
Assessment
(d)
06/28/1999
07/03/2000
1040
1040
Prothonotary
Cumberland County
Carlisle, PA 17013
Place of Filing
Last Day for
Retiring
(e)
o?/28/2oo9
08/02/2010
Total
Unpaid Balance
of Assessment
(f)
1712.34
21122.43
22834.77
This notice was prepared and signed at
the 24th day of Au~fust
PITTSBURGH, PA
2001
, on this,
Signature
~, Title
ACS 23-01-0008
for L G DOWD
(800) 829-3903
Form6&8(¥)(¢) fRev. 10-00)
Pan l-K~tByReco~tngO~ce