HomeMy WebLinkAbout01-1947 FX
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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
WAGE & INVESTMENT AREA #2
Lien Unit Phone: (800) 829-7650 230l7242l 71..e.Oi- /'1'1'7 r-rJ..
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,
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. (") 0 0
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Name of Taxpayer THOMAS R HaAG s :c-"" -~.)
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Residence (J),::':' (--:> '~i'
122 S 3RD ST -<~-- i..-='
LEMOYNE, PA 17043-1910 ~c; "'D L -T,
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, ~~ S'? gj\;
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unless notice of the lien is refiled by the date given in column (e). this notice shall, =:! ~.IJ
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on the day following such date, operate as a certificate of release as defined fJ.t. Pu. / · 9.tJ7)
in IRe 6325(a).
Tax Period Date of Last Da.r. for f Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refi 109 of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/1996 169-44-5077 06/22/1998 07/22/2008 1572.89
1040 12/31/1997 169-44-5077 09/21/1998 10/21/2008 3115,88
Place of Filing
Prothonotary Total $
Cumberland County 4688.77
Carlisle, PA 17013
This notice was prepared and signed at
PITTSBURGH, PA
I on this,
15th day of March
2001
the
Signature
Title
ACS
23-01-0000
for P S LANE (800) 829-7650
(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)
CAT. NO 60025X
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--*-- 1008 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 RecordinQ Office
WAGE & INVESTMENT AREA #2 f1t .12/j 8 So vi>
Lien Unit Phone: (412) 395-5265 230172421
I certify that the following-named taxpayer, under the requirements of section 6325 (a) t/l $9 y-
of the Internal Revenue Code has satisfied the taxes listed below and all statutory i2u-. / 'II.zc.b
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 April 03
2001 , is authorized to note the books to show the release of this lien for
these taxes and additions.
Name of Taxpayer 0 C) 0
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THOMAS R HOAG ::<'''''' "
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Residence 122 S 3RD ST 0~_:: <.n (;J
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LEMOYNE, PA 17043-1910 -"0 "7,
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COURT RECORDING INFORMATION: ;c. c: - c.cm
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Liber Page DCC No. Serial No. -I W d:-::~
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n/a n/a n/a 01-1947 FTL -<
Tax Period Date of Last Dr.r; for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refi mg of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/1996 169-44-5077 06/22/1998 07/22/2008 1572.89
1040 12/31/1997 169-44-5077 09/21/1998 10/21/2008 3115.88
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Place of Filing
Prothonotary
Cumberland County Total $ 4688.77
Carlisle, PA 17013
,
This notice was prepared and signed at
Philadelphia, PA
, on this,
the
30th day of July
2003
Sign ure, 11-1>
MV~
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. Ru!' 71-466, 1971 - 2 C.B. 409)
Part 1 - RECORDING OFFICE
Form 668 (Z) (Rev. 10-2000)
CAT. NO 600261
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