HomeMy WebLinkAbout00-07794
Form10916(c) R~e~ent of the Treasury - Internal Revenue Service
IRev. 10,20001669 "A\JI of Filed Notice of Federal Tax Lien
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Area: Serial Number For Optional ~e bt1!ecodifng Office
SMALL BUSINESS/SELF EMPLOYED AREA #3 OCD :"-:;) ,- -
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Lien Unit Phone: (412) 395-5265 230066375 L.. ::::.-, c,_ ;-:-:=
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I certify that the following-named taxpayer has met one or more of the elements <...."'0
of the Internal Revenue Code (IRC) section 6323(j). The Internal Revenue Service -." ....~,-
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therefore withdraws the Notice of Federal Tax Uen for these taxes and additions. :?c'
The withdrawal of this notice of lien does not affect the statutory lien provided ~Cl - -
by IRC section 632 t; it simply relinquishes any lien priority obtained by the Internal PC - , ,
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Revenue Service when the notice was filed. The proper officia~ in the office where ~- 0 5-~
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the Notice of Federal Tax Lien was filed on November 0 , 2000 , -<::.. co -.
is authorized to update the records to show the withdrawal of the notice of lien Ltfcl)"11Q4 FTl--o
for these taxes and additions.
Name of Taxpayer STEVEN D KELLY
Residence 1907 ATHOL ST
CAMP HILL, PA 17011-3713
COURT RECORDING INFORMATION: al/53tJ55
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Liber Page UCC No. Serial No.
n/a n/a n/a 00-7794-FTL
Tax: Period Date of Last DV. for Unpaid Balance
Kind of Tax: Ending Identifying Number Assessment Ref! mg of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/1992 181-44-8199 09/07/1998 10/07/2008 3636.50
1040 12/31/1993 181-44-8199 03/30/1998 04/29/2008 1089.38
1040 12/31/1995 181-44-8199 09/07/1998 10/07/2008 658.19
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Place of Filing
Prothonotary Total $
Cumberland County 5384.07
Carlisle, PA 17013
This notice was prepared and signed at
PITTSBURGH, PA
I on this,
the 14th day of November
2000
Signature
C?~ a l~
Title Compliance Technical Support
Manager
Cat. No. 245B6T
Part t - Recording Office
Form10916(c) (Rev. 10-2000)
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499
Department of the Treasury - Internal Revenue Service
Form 668 (Y)( c) Notice of Federal Tax Lien
(Rev. October 2000)
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #3 ;fI:OS ~--77 Cf~ F7L
Lien Unit Phone: (800) 829-3903 230066375
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As provided by section 6321, 6322, and 6323 of the Internal Revenue . c:". <::) .'n
Code, we are giving a notice that taxes (including interest and penalties) s: z. ~-:.!
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have been assessed against the following-named taxpayer. We have made rT1 .c
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a demand for payment of this liability, but it remains unpaid. Therefore, zr;:; ("J
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there is a lien in favor of the United States on all property and rights to ~L
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property belonging to this taxpayer for the amount of these taxes, and J> r-~ ::n:
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additional penalties, interest, and costs that may accrue. 5>g LD
Name of Taxpayer STEVEN D KELLY ~ - 55
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Residence 1907 ATHOL ST
CAMP HILL, PA 17011-3713 C~* 1~)5d7
IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice of the lien is refiled by the date given in column (e), this notice shall, ~ i6'J1 01
on the day following such date, operate as a certificate of release as defined
in IRC 6325(a).
Tax Period Date of Last Dal. for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refi 109 of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/1992 181-44-8199 09/07/1998 10/07/2008 3636.50
1040 12/31/1993 181-44-8199 03/30/1998 04/29/2008 1089.38
1040 12/31/1995 181-44-8199 09/07/1998 10/07/2008 658.19
Place of Filing
Prothonotary Total $
Cumberland County 5384.07
Carlisle, PA 17013
This notice was prepared and signed at
PITTSBURGH, PA
I on this,
05th day of October
2000
the
Signature I'? Title
for LOIS Jd:;{MLLJ.;J~.-_ ACS
DOWD ' i (800) 829-3903
(NOTE: Certificate of officer authoriied-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)
23-01-0008
Part 1 - Kept By Recording Office
Form 668(Y)(c) (Rev. 10,00)
CAT. NO 60025X
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