HomeMy WebLinkAbout02-3291 499
Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c)
(,.. Oc,ob.r 2000) Notice of Federal Tax Lien
,7/~. o~. -,~ ¢/ -/::. Tx.
Area: Serial Number
WAGE & INVESTMENT AREA #2
Lien Unit Phone: (800) 829-7650 230291363
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including inteFest and penalties)
have been assessed against the following-named taxpayer. We have made
a demand for payment of this liability, but k remains unpaid. Therefore,
there is a lien in favor of the United States on all property and rights co
property belonsJng to this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs that may accrue.
Name of Taxpayer PATRICIA A FORTENBAUGH
Residence 213 TALL OAK DR
NEW CUMBERLND, PA 17070-2347
IIMPORTANT RELEASE INFORHATION: 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
1040
1040
C) c:)
Place of Filing
Tax Period
Ending
12/31/1997
12/31/1998
Identifying Number
(c)
208-42-5434
Date of
Assessment
06/11/2001
o6/11/2OOl
Last Day for
Retiring
07/11/2011
07/11/2011
Prothonotary
Cumberland County
Carlisle, PA 17013
Total
Unpaid Balance
of Assessment
20868.45
6379.93
27248.38
This notice was prepared and signed at
PITTSBURGH, PA
, on this,
the 20th day of June 2002
Signature/"')/ / //' ~ /I Title
f ;~-~/-~Z~'_/~. ~1/4J/~--,-~;~.,_....,~'~_1 ACS 12-00-0000
or P s L~NE ---~-~-- /? I
(800)
829-7650
(~O~J: Ce~ificate of officer authorized by law to take~cknow' ' I~dgment is not essential to the validi~ of Notice of Federal Tax lien
Rev. Rul. 71-466, 1971 - 2 C.B. 409)
~a~ I - Ke~ ~ E~laj O~ Form 668(Y)(() (Rev. 10-00)
CAT. NO 60025X