HomeMy WebLinkAbout97-02464Form 666 (Y) (c) Depa•imont of the Treasury - Internal novenuo Service
(Rev. October 1993, Notice of Federal Tax Lien
District Serial NUmbet For Optional Use by Recording Office
As provided by sections 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 t
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 *l
properly belonging to this taxpayer for the amount of these taxes, and
additional penalties, Interest, and costs that may accrue. ;r5
Name of Taxpayer
Resldence
IMPORTANT RELEASE INFORMATION: For each assessment listed below, yet cv t?f
unless notice of lien Is rallied by the date given in column (e), this notice shall,
on the day following such date, operate as a certificate of release as defined Cu-MI ;?
in IRC6325(a): . , <O 514
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ended Identifying Number Assessment Raffli ng of Assessment
(a) (b) (c) (d) (e) (/)
Place of Filing
Total $
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This notice was prepared and signed at on this, '
the day of 19
Signature Tale
(NOTE: CarLhcate of ell. car au!^cnzed ty lj+ to 1n•0 a?• .:._ -?o ?1 r e,:u t a: a V•e ?a d!y of Net:ee Of Federal Tax tun
Rev. Rul. 71.469, 1971 • 2 C e 4C9)
Part t • kept By Recording Office Form 668 (Y) (c) (Rev. 10;93)
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4805 Department of the Treasury - Internal Revenue Service
Form 668 (Z)
,Rev. 10-2000, Certificate of Release of Federal Tax Lien
Area: Serial Number For Use b Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
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I certify that the following-named taxpayer, under the requirements of section 6325 (a) ?_3
of the Internal Revenue Code has satisfied the taxes listed below and all statutory
additions. Therefore, the lien provided by Code section 6321 for these taxes and ?2d93v
additions has been released. The proper officer in the office where the notice of
internal revenue tax lien was filed on May 09
1997 , is authorized to note the books to show the release of this lien for
these taxes and additions.
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Name of Taxpayer d
THEODORE S WEAVER JR -TJ I
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CZ ITT
Residence 4 611 A FLORENCE AVE 7 y
m= z= J 0
MECHANICSBURG, PA 17055
COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No.
n/a n/a n/a 97-2464FTL v
Tax Period Date of Last Day for Unpaid Baiance
Kind of Tax Ending Identifying Number Assessment Refging of Assessment
a b c d e f
1040 12/31/1986 XXX-XX-1916 05/25/1987 06/24/1997 5494.68
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Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 5494.68
This notice was prepared and signed at Philadelphia, PA
the 01st day of February , 2009
Signature
, on this,
Title Director, Campus Compliance
Operations
(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