HomeMy WebLinkAbout01-04026Form 668 (Y)(c)
y1Rev. October 2000)
499
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax Lien
A Serial Number For Optional Use by Recording Office
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SMALL BUSINESS/SELF EMPLOYED AREA #3
Lien Unlt Phone: (800) 629-3903
230176703
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As provided by section 6321, 6322, and 6323 of the Internal Revenue ' (g
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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.
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Name of Taxpayer RONALD A WELLER ~
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Residence
80 A GREENWOOD CIR zr
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WORMLEYBURG, PA 17043-1140 r~.' -7,. ~`_?
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IMPORTANT RELEASE INFORMATION: For each assessment listed below,
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unless notice of the lien is refiled by the date given in column (e), this notice shall, ~
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on the day following such date, operate as a certificate of release as defined ro. _<
in IRC 63251a). ~ I -
Tax Period Date of Last Da)r for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiltng of Assessment
(a) (b) (c) (d) (e) (f)-
1040 12/31/1998 193-36-0368 12/06/1999 01/05/2010 17792.28
1040 12/31/1999 193-36-0368 03/05/2001 04/04/2011 54435.07
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ($ 72227.35
This notice was prepared and signed at
PITTSBURGH, PA
the 20th day of ,June 2001
on this,
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Signature n ~',_~~_vr ~ ~, a°„q Title
',raw,,„, ACS 23-01-0008
for L G DOWD _- (800) 829-3903
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential tc the validity of Notice of Federal Tax lien
Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 668(Y)(c) (Rev. 10-001
Part 1 -Kept By Recording Office CAT. NO 60025X
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3026 De(iartment of the Treasury -Internal Revenue Service
Form 668 (Z) Certificate of Release of Federal Tax Lien
'IRev. 10-2000)
Area: Serial Number For Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #3 ~q
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Lien Unit Phone: (ail) 395-5265 230176703 ~
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I certify that the following-named taxpayer, under the requirements of section 6325 lal ~'`- µ u ~ d
of the Internal Revenue Code has satisfied the taxes listed below and all statutory ~ lz/ ~i9
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 June 28
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2001 , is authofized to note the books to show the release of this lien for ~ ~~,
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these taxes and additions. m~
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Name of Taxpayer Zx
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RONALD A WELLER tn,
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Residence 80 A GREENWOOD CIR ~'~ ~? `~r~"
WORMLEYBURG, PA 17043-1140 ~ - '~i
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COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No.
n/a n/a n/a 01-4026 FTL
Tax Period Date of Last Daayy for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(al (bl (c) (d) (el (f/
1040 12/31/1998 193-36-0368 12/06/1999 01/05/2010 17792.28
1040 12/31/1999 193-36-0368 03/05/2001 04/04/2011 54435.07
Place of Filing Prothonotary
Cumberland County
Carlisle, PA 17013
This notice was prepared and signed at
PITTSBURGH, PA
on this,
the 09th day of January
Total ~$ 72227.35
2002
5ignaturr?~' /J ('~ I Title Compliance Technical Support
(~Z ,t`f,~aJ'~ E~% u%~~','„`,<~I,'„~L Manager
tnvre: c:ertiTicate of orrrcer autnorizetl 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) Form 666 (Z) IRev. 10-2000)
Part I -RECORDING OFFICE CAT. NO 600261