HomeMy WebLinkAbout01-03399
499
Department of the Treasury - Internal Revenue Service
Form 668 (Y)(e) Notice of Federal Tax Lien
(Rev. October 2000)
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #3 ff(j(-fj899
Lien Unit Phone: (800) 829-3903 230175757
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 0
there is a lien in favor of the United States on all property and rights to E - -n
property belonging to this taxpayer for the amount of these taxes, and i (... ,~
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additional penalties, interest, and costs that may accrue. z
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Name of Taxpayer MARK A RENDE :;;- ~6
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Residence P 0 BOX 675 ~8 - tSrn
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NEW CUMBERLAND, PA 17070-0675 NO ~
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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 ~;k 1 \ ;;ZL/6L./
in IRe 6325(a).
Tax Period Date of Last DaJ; for Unpaid Balance
Kind of Tu Ending Identifying Number Assessment Refi mg of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/1992 205-52-4105 08/21/1995 09/20/2005 416.49
1040 12/31/1993 205-52-4105 08/21/1995 09/20/2005 3031.84
1040 12/31/1994 205-52-4105 11/13/1995 12/13/2005 2442.25
Place 'of Filing
Prothonotary Total $
Cumberland County 5890.58
Carlisle, PA 17013
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This notice was prepared and signed at
PITTSBURGH, PA
, on this,
23rd day of May
2001
the
for L G (800) 829 3903
(NOTE: Certificate of officer authorized by'jaw to ta-k8" a'cknowledgment is not essential to the validity of Notice of Federal Tax lien
Rev, Ru!. 71-466. 1971 - 2 C,8, 409)
Part I - Kept By Recording Office Form 668(Y)(c) (Rev. 10-001
CAT, NO 60025X
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Title
ACS
23-01-0008
Signature
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--*-- 1008 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
Lien Unit Phone: (412) 395-5265 230175757
I certify that the following-named taxpayer, under the requirements of section 6325 (a) 0 0 Ci
of the Internal Revenue Code has satisfied the taxes listed below and all statutory ,~) ...n
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additions. Therefore, the lien provided by Code section 6321 for these taxes and ""', -0 ".,.,
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additions has been released. The proper officer in the office where the notice of U'~'. ~'.~.t)
June 04 2~ \
internal revenue tax lien was filed on c.....::,. ''',,:..
2001 , is authorized to note the books to show the release of this lien for ~:2: -::;~ .~,../~
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these taxes and additions. ~Q -- ;::-S;r.
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Name of Taxpayer C ~
MARK A RENDE ~ :f\ 5J
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Residence P 0 BOX 675
NEW CUMBERLAND, PA 17070-0675 c..""-~ 4Q,s
COURT RECORDING INFORMATION: R.~
Liber Page UCC No. Serial No. , 61.. :Gll Lf
n/a n/a n/a 01-3399 FTL
Tax Period Date of Last Day for Unllaid Balance
Kind of Tax Ending Identifying Number Assessment Refillng of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/1992 205-52-4105 08/21/1995 09/20/2005 416.49
1040 12/31/1993 205-52-4105 08/21/1995 09/20/2005 3031. 84
1040 12/31/1994 205-52-4105 11/13/1995 12/13/2005 2442.25
,******** ***********'il ************* **********~ ************ ****************
Place of Filing
Prothonotary
Cumberland County Total $ 5890.58
Carlisle, PA 17013
This notice was prepared and signed at
Philadelphia, PA
, on this,
the
27th day of March
2003
Signature
Title Compliance Technical Support
Manager
(N rtl e of 0 . horized by law to ta
Federal Tax lien Rev. Rul. 71-466, 1971 - 2 C.B, 40
Part 1 - RECORDING OFFICE
acknowledgments is not essential to the validity of Certificate of Release of
Form 668 (Z) {Rev, 10-20001
CAT, NO 600261
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