HomeMy WebLinkAbout03-0338
2802
Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien
{Rev. October 20001 fl" . D 3 - :3 3 6 FTL
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #3 teL /fi '/'-I.ou
Lien Unit Phone: (412) 395-5265 230399757
As provided by section 632 t, 6322, and 6323 of the Internal Revenue ck. '3'1 {
Code, we are giving a notice that taxes (including interest and penalties) ~ /33flf
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. (") 0 0
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Name of Taxpayer ROY G & STACEY I AFALAVA <'" ~ ;
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Residence ~~{, 1'-)
4191 GETTYSBURG RD LOT 6
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CAMP HILL, PA 17011 ~ :.J7.:
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, ~ .. -.
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unless notice of the lien is refiled by the date given in column (e). this notice shall, N -<
on the day following such date, operate as a certificate of release as defined
in IRC 6325(a).
Tax Period Date of Last D?; for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refi 109 of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2001 551-35-5929 OS/27/2002 06/26/2012 5442.12
Place of Filing
Prothonotary Total $
Cumberland County 5442.12
Carlisle, PA 17013
This notice was prepared and signed at
PITTSBURGH, PA
, on this,
04th day of January
2003
the
Signature
~~#
Title
ACS
(800) 829-7650
12-00-0000
for P S
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien
Rev. Ru\. 71-466, 1971 - 2 C.B. 409)
Part 1 - Kept By Recording Office
Form 668(Y)(c) (Rev. 10.00)
CAT. NO 60025X
--*--
3355
Department of the Treasury - Internal Revenue Service
Certificate of Release of Federal Tax Lien
Form 668 (Z)
(Rev. 10-2000)
For Use bv Recording Office
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ex. I.) 3/3
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Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 230399757
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
additions. 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 January 22
2003 , is authorized to note the books to show the release of this lien for
these taxes and additions.
Name of Taxpayer
ROY G & STACEY I AFALAVA
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Residence 4191 GETTYSBURG RD LOT 6
CAMP HILL, PA 17011
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COURT RECORDING INFORMA70N:
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Tax Period
Kind of Tax Ending Identifying Number
(a) (b) (e)
1040 12/31/2001 551-35-5929
*********************************
Date of last Day for
Assessment Reflling
(d) (e)
OS/27/2002 06/26/2012
**********~************
Unpaid Balance
of Assessment
(f)
5442.12
****************
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $
This notice was prepared and signed at
Philadelphia, PA
the
14 th day of March
2007
Signature
Title Director, Campus Compliance
Operations
5442.12
, on this,
(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)
Part 1 - RECORDING OFFICE
Form 668 (Z) (Rev. 10-2000)
CAT. NO 600261
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