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Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
Form668 (Y)(c)
(Rev. October2OOO)
SMALL BUSINESS/SELF EMPLOYED AREA
Lien Unit Phone: (412) 395-5265
230297331
Serial Number
As provided by section 6321, 6322, 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 uxes, and
additional penalties, interest, and costs that may accrue.
Name of Taxpayer KEITH PEIFER
Residence 1025 AUDUBON RD
MECHANICSBURG, PA 17055-4801
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).
For Optional Use by Recording Office
Kind of Tax
(a)
940
941
941
941
941
Tax Period
Ending
(b)
12/31/1997
12/31/1997
03/31/1998
06/30/1998
09/30/1998
Identifying Number
(c)
23-2148530
23-2148530
23-2148530
23-2148530
23-2148530
Date of
Assessment
(d)
11/02/1998
11/02/1998
09/07/1998
09/07/1998
02/01/1999
Last Day for
Refiling
(e)
12/02/2008
12/02/2008
10/07/2008
10/07/2008
03/03/2009
Prothonotary
Cumberland County
Carlisle, PA 17013
Total
Place of Filing
Unpaid Balance
of Assessment
(f)
119.84
793.46
1598.22
1006.60
1098.68
4616.80
This notice was prepared and signed at
PITTSBURGH, PA
, on this,
the llth day of November 2002
S~gnature Title
DAR% F f ~ . //~R.__~?[~,_~, ~/L~.~/~~ REVENUE OFFICER 23-11-1439
for
(717) 221-3490
(NOTE: Certificate of officer authorized by law to take ~knowledgment is not essential to the validity of Notice of Federal Tax lien
Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 665(Y)(c) (Rev. 10-00)
Parr I - Kept By Recording Office CAT. NO 60025X
Form 668 (Z)
(Rev. 10-20001
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #3
Lien Unit Phone: (412) 395-5265 230297331
I certify that the following-named taxpayer, under the requirements of section 6325 (a)
of the internal Revenue Code has satisfied the taxes listed below and all statutory
add{tions, Therefore, the lien provided by Code section 6321 for these taxes and
additions has been released. The proper officer in the office where the notice of
internal revenue tax lien was filed on November 21
2002 , is authorized to note the books to show the release of this lien for
these taxes and additions.
Name of Taxpayer
KEITH PEIFER
1 0 0 8 Department of the Treasury - Internal Revenue Service
Certificate of Release of Federal Tax Lien
For Use by Recording Office
Residence 1025 AUDUBON RD
MEC~IANICSBURG, PA 17055-4801
COURT RECORDING INFORMATION: c~ '~
Liber Page UCC No. Serial No.
n/a n/a n/a 02-5634-FTL
Tax Period Date of Last Day for Unpaid Balance
~nd ofT ax Ending Identifying Number Assessment Retiring of Assessment
(a) ~) (c) (d) (e) ~
940 12/31/1997 23-2148530 11/02/1998 12/02/2008 119.84
941 12/31/1997 23-2148530 11/02/1998 12/02/2008 793.46
941 03/31/1998 23-2148530 09/07/1998 10/07/2008 1598.22
941 06/30/1998 23-2148530 09/07/1998 10/07/2008 1006.60
941 09/30/1998 23-2148530 02/01/1999 03/03/2009 1098.68
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $ 4616.80
This notice was prepared and signed at
Philadelphia, PA
, on this,
the 31st day of March 2004.
S~gn?ture Title Compliance Technical Support
(NOTE: Certificate of officer authorized by law to take acknowledgments is not essential to the validity of Certificate of Release of
Federal Tax lien Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 668 (Z) (Rev. 10-2000)
Part 1 - RECORDING OFFICE CAT, NO 600261