HomeMy WebLinkAbout02-4143Form 668 (Y)(c) ~99
IRev. October 2000)
Area:
WAGE & INVESTMENT AREA #2
Lien Unit Phone: (8OO) 829-7650
As provided by section 6321, 6322, and 6323
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
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.
Residence
125 SUNSET VIEW DR
Serial Number For Optional Use by Recording Office
230294094 Oo~ __ ~/ //./~ --'~'/'7~
of the Internal Revenue
NEW CUMBERLND, PA 17070-2525
IlflPORTANT RELEASE INFORIWATION: For each assessment listed below,
unless notice of the lien is refined by the date given in column (e), this notice shall,
on the day foJJowing such date, operate as a certificate of release as defined
in iRC 6325(a).
~ndofTax Tax Period Dateof
Ending Identifying Number Assessment
1040 12/31/1995 206-38-9656 05/20/1996
1040 12/31/1996 206-38-9656 05/19/1997
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Iasc Day for
Reflhng
06/19/2006
06/18/2007
Total
Unpaid Balance
of Assessment
3230.69
7563.68
10794.37
This notice was prepared and signed at
PITTSBURGH, PA
· on this,
the 16th
day of August 2002
Signature ~2
fo__~_r P S LANE 12-00-0000
9-7650
(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.8. 409)
Part I - Kept By Recording Office Form 668(Y)(c) (Rev. 10 00)
CAT. NO 60025X