HomeMy WebLinkAbout01-1944 FX
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499
Department of the Treasury - Internal Revenue Service
F"m 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
Lien Unit Phone: (800) 829-3903 230172312 71..0 (J {- /1<1 Y PT J...
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
a demand for payment of this liability, but it remains unpaid. Therefore, 0 c:::' C)
there is a lien in favor of the United States on all property and rights to ~ -. -'0
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property belonging to this taxpayer for the amount of these taxes, and u(.C -0 ,,,::'-'::j
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additional penalties, interest, and costs that may accrue. ""- ~J~' ' 'i-~
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Name of Taxpayer WILLIAM R & ROBIN BALABAN ':..;C)
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Residence > c: :::.:'
312 N 26TH ST ~ - :J:;
CAMP HILL, PA 17011-3619 f-=> -<
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,
on the day following such date, operate as a certificate of release as defined A,/M "t;'.oJ .
in IRe 6325(a). .
Tax Period Date of Last Df. for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Reft mg of Assessment
(a) (b) (c) (d) (e) <0
1040 12/31/1993 209-36-3667 06/06/1994 07/06/2004 3385,34
1040 12/31/1994 209-36-3667 OS/29/1995 06/28/2005 288,63
1040 12/31/1995 209-36-3667 05/11/1998 06/10/2008 5201.85
Place of Filing
Prothonotary Total $
Cumberland County 8875,82
Carlisle, PA 17013
This notice was prepared and signed at
PITTSBURGH, PA
, on this,
14th day of March
2001
the
for L G DOWD ... ....., (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. Ru'. 71.466. 1971 .2 C.B. 4091
Title
ACS
23-01-0008
Signature
Part 1 - Kept By Recording Office
Form 668(Y)(c) tRev. 10-00)
CAT. NO 60025X
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499 Department of the Treasury - Internal Revenue Service
Fonn 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 #3 Ilt. /2y(' a SOD J
Lien Unit Phone: (412) 395-5265 230172312
I certify that the following-named taxpayer, under the requirements of section 6325 (a) e..k /.2 <(
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 11.. IN'!)';
additions has been released. The proper officer in the office where the notice of
internal revenue tax lien was filed on April 03
2001 , is authorized to note the books to show the release of this lien for
these taxes and additions. (') 0 0
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Name of Taxpayer :s: :E: --.-{
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WILLIAM R & ROBIN BALABAN mrT~ "'''
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(f) .;..;' N '_".J
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Residence 312 N 26TH ST )> ':) ::>: ~2f~
CAMP HILL, PA 17011-3619 ~O -
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RECORDING INFORMATION: ~ co -~
COURT "
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Liber Page UCC No, Serial No.
n/a n/a n/a 01-1944 FTL
Tax Period Date of Last Dif. for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refi mg of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/1993 209-36-3667 06/06/1994 07/06/2004 3385.34
1040 12/31/1994 209-36-3667 OS/29/1995 06/28/2005 288.63
1040 12/31/1995 209-36-3667 05/11/1998 06/10/2008 5201. 85
******* **********i ************* *********** ************ ****************
Place of Filing Prothonotary
Cumberland County Total $ 8875,82
Carlisle, PA 17013
.
This notice was prepared and signed at
PITTSBURGH, PA
, on this,
01st day of March
2002
the
Signatur
.(~-"~----
Title Compliance Technical Support
Manager
(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 j - RECORDING OFFICE
Form 668 (Z) (Rev. 10-2000)
CAT. NO 600261
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