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HomeMy WebLinkAbout02-3644Form 668 (Y)(c) (Rev. October 2000) Area: I Serial Number SMALL BUSINESS/SELF EMPLOYED AREA #3 Lien Unit Phone: (412) 395-5265 230292579 As provided by section 6321, 6:322, 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 Optional Use by Recording Office Name of Taxpayer JOHN M THOMPSON II Residence 137 N HANOVER ST CARLISLE, PA 17013-2409 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). Identifying Number (c) 25-1845741 25-1845741 25-1845741 25-1845741 25-1845741 25-1845741 Dace of Assessment (d) 12/11/2000 03/19/2001 06/04/2001 09/03/2001 12/31/2001 04/01/2002 Last Day for Refiling (e) Ol/lO/2Oll o4/18/2Oll o7/o4/2Oll lO/O3/2Oll Ol/3O/2O12 o5/ol/2O12 Tax Period Kind of Tax Ending (a) (b) 941 09/30/200( 941 12/31/2000 941 03/31/2001 941 06/30/2001 941 09/30/2001 941 12/31/2001 Prothonotary Cumberland County Carlisle, PA 17013 ~ /~ Place of Filing Total Unpaid Balance of Assessment (f) 9907.28 9281.45 12205.43 13234.55 12029.85 9628.35 66286.91 This notice was prepared and signed at PITTSBURGH, PA , on this, the 19th day of July 2002 Signatur /// I Title ~-_/_~&~f~_./~ ~-'~'~, .,./~. [ REVENUE OFFICER 23-08-1441 for DENNIS p. ZM~ .// I (717) 221-3490 x1310 (NOT£: 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.C. 409) Part I - Kept By Recording Office Form 668(Y)(c) (Rev. 10-00) CAT. NO 60025X