HomeMy WebLinkAbout03-1988Form 668 (Y)(c)
(Rev. October 2000)
1442
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
Area: I Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #3
Lien Unit Phone: (412) 395-5265 106125303
As provided by section 632 l, 6322, and 6323 of the Internal Revenue
Code, we are ~iving 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 ali property and rights to
property belonging to this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs that may accrue.
For Optional Use by Recording Office
C~ b-I Y
NameofTaxpayerMICHAEL A & SHARLENE A BAIR
Residence 600 N FRONT STREET
WORMLEYSBURG, PA 17043-0000
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
in IRC 6325(a).
Kind of Tax
Ca)
1040
1040
Place of Filing
Tax Period
Ending
(h)
12/31/1999
12/31/2000
Identifying Number
(c)
195-64-0636
195-64-0636
Date of
Assessment
(d)
12/11/2000
11/12/2001
Last Day for
Refiling
Ce)
01/10/2011
12/12/2011
Prothonotary
Cumberland County
Carlisle, PA 17013
Total
Unpaid Balance
of Assessment
(f)
5668.11
1694.69
7362.80
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the 15th day of April , 2003
Signat ee~j~.~ ~____________~__~.~.,~ ~ I Title '
REVENUE OFFICER 23-11-1450
for JEFFREY WH~-TL~--~ ~ - I (717) 221-3490
(NOTE: Certificate of officer authorized by law to t~ke acknowledgment is not essential to the validity of Notice of Federal Tax lien
Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 668(¥)(¢) (Rev. 10-00)
Part ! - Kept By Recording Office CAT. NO 60025X
Form 668 (Z)
(Rev. 10-2000)
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #3
lies Unit Phone: (412) 395-5265 106125303
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 air statutory
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 28
2003 , is authorized to note the books to show the release of this lien for
1008 Department of the Treasury - Internal Revenue Service
Certificate of Release of Federal Tax Lien
For Use by Recording Office
these taxes and additions.
Name of Taxpayer
MICHAEL A & SHARLENE A BAIR
Residence600 N FRONT STREET
WORMLEYSBURG, PA 17043-0000
COURT RECORDING INFORMATION: z!] ~ -
Liber Page UCC No. Serial No. ~"~
n/a n/a n/a 03-1988 FTL
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Retiring of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/1999 195-64-0636 12/11/2000 01/10/2011 5668.11
1040 12/31/2000 195-64-0636 11/12/2001 12/12/2011 1694.69
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $ 7362.80
This notice was prepared and signed at
PHILADELPHIA, PA
· on this,
the 16th day of July 2003.
S,gpatL~r~- . .~ / T~tle Compliance Technical Support
'~ ~.,~,/~ ' Manager
(NOTE: Certificate of officer authorized by lanvin 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) Form &&8 (Z) (Rev. 10-2000)
Part ! - RECORDING OFFICE CAT, NO 600261