HomeMy WebLinkAbout01-2928 FX
,
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 ;jJ Q I ~ ()9;2f)' F71--
Lien Unit Phone: (412) 395'5265 230174868
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, CI ,~
(') ~"
there is a lien in favor of the United States on all property and rights to - ,.
c::: To
property belonging to this taxpayer for the amount of these taxes, and s- ,::D
-0(0 :::-; 'r'
additional penalties, interest, and costs that may accrue. p-\rn .;n
__?_n - :.:J
~r'~
Name of Taxpayer WILLIAM R BALABAN Corporation ~!:' (..;n , ~,<C~
, a
CC) ~
"- -~". ~.'_~~; ~f,
?i: ~~ -
9 -~....
Residence 5c -,
27 N FRONT ST ~
;Z; ,Jj =-<.
HARRISBURG, PA 17108 -, p,.)
--<.
IMPORTANT RELEASE INFORMATION: For each assessment listed below, Cr-.:/:t/'OJ-
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 I~ /lfQ7( /J
in IRC 6325(a).
Tax Period Date of Last Dal. for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Ref! mg of Assessment
(a) (b) (c) (d) (e) (f)
941 03/31/2000 23-2426544 06/19/2000 07/19/2010 14418.78
941 06/30/2000 23-2426544 09/18/2000 10/18/2010 20243.85
941 09/30/2000 23,2426544 12/11/2000 01/10/2011 19730,86
Place of Filing
Prothonotary Total $
Cumberland County 54393,49
Carlisle, PA 17013
This notice was prepared and signed at
PITTSBURGH, PA
, on this,
the
04th day of May
2001
SignattJre Title
. ,"'". Revenue Officer 23'01'1439
for D. FISHER (717) 221-3490
(NOTE: Certificate of officer authorized by law to take ;;icknowledgment is not essential to the validity of Notice of Federal Tax lien
Rev, Ru!' 71-466, 1971 ,2 C,B. 4091
Part 1 _ Kept By Recording Office Form 668(Y)(c) (Rev, 10-00)
CAT, NO 60025X
-t--'^""'"""Wr-"
. -'-'~'1"""""1
~-~- ".-r I, ~I' 1
-
.
499 Department of the Treasury - Internal Revenue Service
lorm 668 (Z) Certificate of Release of Federal Tax Lien
(Rev. 10-2000)
Area: Serial Number For Use by Recordino Office
SMALL BUSINESS/SELF EMPLOYED AREA #3 i1t, ~ 5.1/0 P--1i
Lien Unit Phone: (4l2) 395-5265 230174868
I certify that the following-named taxpayer, under the requirements of section 6325 (al {!J0~ 327
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 ~,111'1 r '1
additions has been released. The proper officer in the office where the notice of
internal revenue tax lien was filed on May 15
2001 , is authorized to note the books to show the release of this lien for
these taxes and additions.
0 c::}
Name of Taxpayer C ......~
Corporation ~ c::>
WILLIAM R BALABAN a -~
, u-CL rJ
rTl.f','; _l --
~t:~, ,
~:~.:~ \D
Residence 2 7 N FRONT ST
r:: ~:~-' "
HARRISBURG, PA 17108 ;~~ ---,' _-' f.")
-'.~,. -"
~~~ ;,.
COURT RECORDING INFORMATION: ?:~ - ~,
Liber Page UCC No. Serial No, -< <.n
n/a n/a n/a 01-2928 FTL
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilmg of Assessment
(a) (b) (c) (d) (e) (f)
941 03/31/2000 23-2426544 06/19/2000 07/19/2010 14418,78
941 06/30/2000 23,2426544 09/18/2000 10/18/2010 20243.85
941 09/30/2000 23-2426544 12/11/2000 01/10/2011 19730,86
******* I***********i ************* **********0) ************ ****************
Place of Filing Prothonotary
Cumberland County Total $ 54393,49
Carlisle, PA 17013
This notice was prepared and signed at
PITTSBURGH, PA
, on this,
the 28th day of September, 2001
Signature
J rc-,"', /,."
~~/x'~_!-/A,..'Jt~
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) IRev, 10-20001
CAT, NO 600261
--,;0.
,:;" -~ ~J"" _,',~:"'_"" ~,
,
" .,.~ ~ '1 I'l'
- .-