HomeMy WebLinkAbout02-2714499
Form 668 (Y)(c)
(Rev. October 2000)
Area: J Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #3
Lien Unit Phone: (800) 829-3903 230289813
As provided by section 632l, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice chat Uxes (including interest and penalties)
have been assessed against the following-named taxpayeF. We have made
a demand for payment of this liability, but it remains unpaM. 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
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien - fL.
For Optional Use by Recording Office
additional penalties, interest, and costs that may accrue.
Name of Taxpayer WILLIAM FI & EMILY E MARTIN JR
Residence 1250 OYSTER MILL RD
CAMP }{ILL, PA 17011-1005
IlqPORTANT RELEASE INFOPJqATION: 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),
Tax Period
Ending
.
12/31/1999
Identifying Number
201-50-7500
Prothonotary
Cumberland County
Carlisle, PA 17013
Date of
Assessment
(d)
05/22/2000
Last Day for
Retiring
(e)
06/21/2010
Unpaid Balance
of Assessment
(f)
3877.87
3877.87
Kind of Tax
1040
Place of Filing
Total
This notice was prepared and signed at
PITTSBURGH, PA
, on this,
the 22nd day of May 2002
Signature-,,/ ,// '/q:.%V--~ /.. I T,tle
(' j//..~ ~.~/x;_~....~..~./;~- I ACS 23-00-0008
for ~w/ // I (800) 829-3903
(NOTE: Ce~ificate of officer authorized by law to~ake acknowledgment is not essential to the validity of Notice of Federal Tax llen
Rev. Rul. 71-466, 1971 - 2 C,B, 409) Form ~68(Y)(~) (Rev. 10-00)
Pa~ I - Kept ~ R~rd~g ~ce CAT. NO 60025X