HomeMy WebLinkAbout02-3616Form 668 (Y)(c)
(Rev, October 2000)
499
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
Area: I Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #3
Lien Unit Phone: (800) 829-3903 230292133
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 r~xpayer. 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 pFoperCy and rights to
property belonging to this ~axpayeF for the amount of these ~axes, and
additional penalties, interest, and costs that may accrue.
Name of Taxpayer THOMAS MILLER
Residence
For Optional Use by Recording Office
PO BOX 202
NEW KINGSTOWN, PA 17072-0202
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).
Tax Period
Ending
(b)
12/31/1997
12/31/1999
Identifying Number
(c)
430-96-5570
430-96-5570
Kind of Tax
(a)
Date of
Assessment
(d)
06/08/1998
06/05/2000
Prothonotary
Cumberland County
Carlisle, PA 17013
So 1.2
c)
Last Day for Unpaid Balance
Retiring of Assessment
(e) (f)
07/08/2008 490.91
07/05/2010 13790.34
1040
1040
Place of Filing
14281.25
Total
This notice was prepared and signed at
PITTSBURGH, PA
, on this,
the 10th day of ,~July , 2002
for L LEDER --I
Title
ACS
(800)
829-3903
23-00-0008
(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 A&8(Y)(c) (Rev. 10-00)
Par~ 1 - Kept By Recording Office CAT. NO 60025X