HomeMy WebLinkAbout97-01218
I KInd ofTax
(8.1
,
i
I
I
I
I
I
I
i
Iplace 61 Filing
I
I
i
I
IThls notice was prepared and signed at
I
..
Form 66B (V) {e)
(Rev. October 1 993)
Olslrlcl
Department 01 the Treasury. Intarnal Ravenue Service
Notice of Federal Tax Lien
r
Serial Number
For Optlonel U.. by Roeordlng Ollleo
~\Ju .
97- ld 18 FTC
lI'
,..
AI provided by sections 6321, 6322, and 6323 01 the Inlernal Revenue
Code, we are gIving a notice that taxes (Including Interest and penalties)
have been assessed against the followlng.named taxpayer, We have made
a demand for payment of thIs liability, but II remains u,lpald, Therefore,
there 'I a lien In favor of the Unlled Slates 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,
! Name 01 Taxpayer
()
.,:,
_l
"
-;1
I
::J
1-"
''7
J,O
r,
I ~L1
..(")
'irn
.:=j
~Il
-<
.
'T)
1.-,\
..
:l
a
(,
<::0
r~~: '.
~':;
.
Residence
,
t .'
,-,",
:J
r"
IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless nollce 01 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
Ended
(b)
r',
fllI.caprl
Identllylng Number
(c)
Date of
Assessment
(d)
Ul;!1
"'tl
Last Day for
Reflllng
(e)
';'"
\.~G.3J3
'lq"'lf'{
Unpaid Balance
of Assessment
(f)
r,
".
lor'
"
1/
,~ 1 .'
.l;
I.
e.
I,
"
"4
'- :,'
t,.l
Total $
(..J
.
. .
, on this,
, "day 01
, 19 ---..;,
/P.<.U~ m.
(NOTE: Corllll"lo of oflleer aUlhorlzod by law 10 lake acknowledgmenl, I. nOI'..enllallo the validity 01 Nollco 01 Fedaral Tax lien
Aav. Aul, 71"~BB, 1971 . 2 C.B. ~09)
Part 1 . Kept By ReCOrding Olf/ce Form 668 (V) (e) (Rev. 10/93)
I
."
Fonn 668 (l)
tRn. 8.971
499
Deportmont of the Treasury. Internal Rovenue Service
Certificate of Release of Federal Tax LIen
District
PENNSYLVANIA
Serial Numbor
For Use b Recordln Office
239720735
I c.rtlfy th.t 01 to th. lollowlng-n.me t..p.y.r, th. r.qulr.m.nt. 01 ..ctlon 6326 1.1
01 th. int.rnol R.v.nu. Cod. h.v. be.n ..tl.fI.d lor th. t.... li.t.d below .nd lor
ull .t.tutory .dditlon., Th.r.fore. the lI.n provid.d by Cod. ..ctlon 632t lor th..e
t..OI .nd .dditlon. h.. bo.n r.le...d. Th. prop.r offlc.r In tho office wh.re the
notlc. ollnt.rn.1 r.v.nu. t.. lI.n WOI fiI.d on March 10
1997 . I. in .uthorlz.d to note the book. to .how the r.I.... 01 thl. lien lor
th... t..OI .nd .dditlon.,
~ \0 c;::
W
,~ <::) '.;:l
djrl' n
tll -l ;1::")
._.rI ,....
;;::L '''8
00 .~Jr-
~:~. ':)~
l.' "Q o,! ...1
~c:- :II: q~)
:;g ~ ~. 1
9.
~ 0 ?O
V1 -<
Neme 01 Toxpoyor DONALD L GELBAUGH
Residence 35 HONEYSUCKLE DRIVE
MECHANICSKY, PA 17055
KInd of Tax
(II)
941
940
*******
ToIX Period
Endln,
(b)
12/31/1986
1:.1/31/1986
****.....*
Idendrytn, Number
(e)
23-2326478
23-2326478
*************
Dolle of
Assessment
(d)
03/16/1987
03/23/1987
..**...***
fL 5.co p::1
C.'-'-I\ Wl'l;)';t
(-I.. \\ '8 ~(;oq
WI D,IY for UnPolld BoIlo1n~ll :
Refllln, of Assessmenl
(II) (f)
04/15/1997 17173.53
04/22/1997 2314.16
************ .**.***....*****
Liber
n a
Page
n a
COURT
UCC No.
n a
RECORDING INFORMATION:
Serial No.
97-1218
. ..~ . .
.,!.\
__n_.__..._..___.
Place 01 Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $
19487.69
This notlco was proporod and signed at
PITTSBURGH, PA
,on this.
tha
03rd day 01 October
1999
o. .
Slgnatura
Title
CHIEF, SPB
'. .
(Non: Cer~lflcat8 of officer authorized by law to laka acknowledgments Is nol enen11al, tb 11'18 validitv of Certlflaate 01 Release af. .. _ .
Federal Te. hen R.v. Rul. 71.466,1971.2 C.B. 4091 Form 668 (Z) IRev. B.971
Part I . RECORDING OffICE CAT. NO 600251
I.