HomeMy WebLinkAbout03-0339
2941
Department of the Treasury.. Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien
(Rev. October 2000) 71..t.,. 0 .3 - 339 r= TL
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA PdP1llJ/V,liV
Lien Unit Phone: (412) 395-5265 230399766
As provided by section 6321, 6322, and 6323 of the Internal Revenue Cle_ 3'15
Code, we are giving a notice that taxes (including interest and penalties) R.v, 1.J3)>1e;
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. 2 0
Name of Taxpayer HERBERT M HENRY JR c.,~ (21
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Residence 95 PRINCESS BLVD ~';' N ;~.' (OJ
kC; ',;
MECHANICSBURG, PA 17050-2916 :x> ;r;,. ~~j(:?
20 ::JI: ~..~ 'I
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, C -
?j --
unless notice of the lien is refiled by the date given in column (e), this notice shall, e- b!
C..J .:i:J
on the day following such date, operate as a certificate of release as defined -<
in IRC 6325(a).
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refihng of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/1993 201-62-0860 07/29/1996 08/28/2006 565.13
1040 12/31/1997 201-62-0860 OS/27/2002 06/26/2012 4433.22
Place of Filing
Prothonotary Total $
Cumberland County 4998.35
Carlisle, PA 17013
This notice was prepared and signed at
PITTSBURGH, PA
, on this,
the
06th day of January
2003
Title
ACS
(800) 829-7650
12-00-0000
for P SLANE
(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)
CA T. NO 60025X
Form-~~8-(Z)--r 1872
(Rev. 10-2000)
Department of the Treasury.. Internal Revenue Service
Certificate of Release of Federal Tax Lien
Area: Serial Number For Use bv Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #3
Lien Unit Phone: (412) 395-5265 230399766 !;~OO ?eL
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 c../(:=tI I CI-()
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 I~.ti-.. I t..3/0L(
these taxes and additions.
Name of Taxpayer
HERBERT M HENRY JR
Residence 95 PRINCESS BLVD
MECHANICSBURG, PA 17050-2916
COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No.
n/a n/a n/a 03-339 FTL
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilmg of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/1993 201-62-0860 07/29/1996 08/28/2006 565.13
1040 12/31/1997 201-62-0860 OS/27/2002 06/26/2012 4433.22
******** ********** ************* **********" ************ ****************
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Place of Filing
Prothonotary
Cumberland County Total $ 4998.35
Carlisle, PA 17013
This notice was prepared and signed at
Philadelphia, PA
, on this,
the
30th day of March
2005
Signature
Title Director, Payment Compliance
(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 I . RECORDING OFFICE
Form 668 (Z) IRev. 10-2000}
CAT. NO 600261