HomeMy WebLinkAbout00-06336Form 668 (Y)(c) 499 Department of the Treasury - Internal Revenue Service
(Rev. August 1997) Notice of Federal Tax Lien
District Serial Number For Optional Use by Recording Office
PENNSYLVANIA 230062729 /?
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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 C
a demand for payment of this liability, but it remains unpaid. Therefore 0 .
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there is a lien in favor of the United States on all property and rights to V)
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property belonging to this taxpayer for the amount of these taxes, and N _ ?
additional penalties, interest, and costs that may accrues : p4
Name of Taxpayer THERON J GOLDEN
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Residence 5241 TERRACE RD v
MECHANICSBURG, PA 17055-6813
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, ?n?
unless notice of the lien is refiled by the date given in column (e), this notice shall, 1V 5`?
on the day following such date, operate as a certificate of release as defined
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IRC
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6325(a
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Tax Period Date of Last Dayy for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/1995 299-64-1197 03/23/1998 04/22/2008 1242.45
1040 12/31/1996 299-64-1197 07/12/1999 08/11/2009 6049.13
1040 12/31/1997 299-64-1197 02/15/1999 03/17/2009 2951.83
1040 12/31/1998 299-64-1197 01/03/2000 02/02/2010 2386.49
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
This notice was prepared and signed at
the 31st day of - August
PITTSBURGH, PA
2000
Total 1 $
12629.90
, on this,
Signature ?' ?' " Title
for LOIS DOWD ACS 23-01-0008
(NOTE: Certificate of officer authorized by law to take acknowledgment isnot essential to the validity of Notice of Federal Tax lien
Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 668(Y)(c) (Rev. 3-971
Part 1 - Kept By Recording Office CAT. NO 60025X
4 8 0 5 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 Q ?/4f8
Lien Unit Phone: (800) 913-6050 230062729 Tcf J
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 -7 .2 3d?
additions has been released. The proper officer in the office where the notice of
internal revenue tax lien was filed on September 18
2000 , is authorized to note the books to show the release of this lien for
these taxes and additions.
Name of Taxpayer ,:
THERON J GOLDEN ? r: r,,
Residence 5241 TERRACE RD -? - r,
MECHANICSBURG, PA 17055-6813
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COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No
n/a n/a n/a 00-6336
Tax Period Date of 4astDay for Unpaid Balance
Kind of Tax Ending IdendfyWX Number Assessment RefMft of Assessment
8 b c d s f
1040 12/31/1995 XXX-XX-1197 03/23/1998 04/22/2008 1242.45
1040 12/31/1996 XXX-XX-1197 07/12/1999 08/11/2009 6049.13
1040 12/31/1997 XXX-XX-1197 02/15/1999 03/17/2009 2951.83
1040 12/31/1998 XXX-XX-1197 01/03/2000 02/02/2010 2386.49
******** ********** ************* ********** ************ ****************
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total I$ 12629.90
This notice was prepared and signed at Philadelphia, PA
the 04th day of March 2 0 0 9
r
, on this,
Signature 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 y' `5
Federal Tax lien Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 668 (Z) (Rev. 10-2000)
Part I - RECORDING OFFICE CAT. NO 600261