HomeMy WebLinkAbout01-0936 FX
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1872 Department of the Treasury - Internal Revenue Service
Form 668 (Z) Certificate of Release of Federal Tax Lien
(Rev. 10-2000)
Area: Serial Number For Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2 & ~41 k-r.uv
Lien Unit Phone: (800) 913-6050 230170462
I certify that the following-named taxpayer, under the requirements of section 6325 ( C-k. 'f" II
of the Internal Revenue Code has satisfied the taxes listed below and all statutory ~ 1'111(,1
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 February 16
2001 , 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 ~~~ :x i!
GALEN E & PAULA P ALLEN ""'" m::D
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Residence 165 KLINE RD :t>o -i-=8
SHIPPENSBURG, PA 17257-9649 i~8' :J:: '40
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COURT RECORDING INFORMATION: =< U1
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Liber Page UCC No. Serial No. I
n/a n/a n/a 01-936 FTL
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment RefilIng of Assessment
(a) (b) (c) . (d) (e) (f)
1040 12/31/:1993 205-36-8786 09/18/1995 10/18/2005 8393.05
1040 12/31/:1997 205-36-8786 OS/25/1998 06/24/2008 700.11
******** 1***********- ************* *********** ************ ****************
Place of Filing
prothonotary
Cumberland County Total $ 9093.16
Carlisle, PA 17013
This notice was prepared and signed at
Philadelphia, PA
, on this,
10th day of May
2006
the
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
Federal Tax lien Rev. Rul. 71-466,1971 - 2 C.B. 4091 Form 668 (Z) IRev. 10.20001
Part 1 - RECORDING OFFICE CAT. NO 600261
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499
Form 668 (y)(,) Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
(Rev. October 2000)
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #3 #01- q3(q PtL
Lien Unit Phone: (800) 829-3903 230170462
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including interest and penalties) 0 c> ~
have been assessed against the following-named taxpayer. We have made c.'
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a demand for payment of this liability, but it remains unpaid. Therefore, ~ -n
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there is a lien in favor of the United States on all !property and rights to (ll(r, ~,:Q
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property belonging to this taxpayer for the amount of these taxes, and Zl -
additional penalties, interest, and costs that may accrue. (f' ..'~> C)')
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Name of Taxpayer GALEN E PAULA PALLEN ~-.. u
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Residence 165 KLINE RD en -<
.. .. SHIPPENSBURG, PA 17257-9649 Af~(X)A>
. . IMPORTANT RELEASE INFORMATION: For each assessment listed below, C '184315
unless notice of the lien is refiled by the date given in column (e). this notice shall,
on the day following such date, operate as a certificate of release as defined ~ll:-/6T7;:}Lj
in IRe 6325(a).
Tax Period Date of Last D'J. for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refi mg of Assessment
(a) (b) (c) (d) (e) (I)
1040 12/31/1993 205-36-8786 09/18/1995 10/18/2005 8393.05
1040 12/31/1997 205-36-8786 OS/25/1998 06/24/2008 700.11
Place of Filing
Prothonotary Total $
Cumberland County 9093.16
Carlisle, PA 17013
This notice was prepared and signed at
PITTSBURGH, PA
, on this,
the
06th day of February
2001
Signature Title
for L GG~.,.. a u~ ACS (800) 829-3903
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien
Rev. Rut. 71-466,1971 - 2 C.B. 4091 Form 668(Y)(c) IRev. 10-001
Part 1 - Kept By Recording Office CAT. NO 60025X
23-01-0008