HomeMy WebLinkAbout01-04028499
Department of the Treasury -Internal Revenue Service
Form 666 (Y)(c) Notice of Federal Tax Lien
IHev. October 2000)
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #3
230176659 ~~~ J to rl /~ C~'7-Y
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Lien Unit Phone: (412) 395-5265 6
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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.
Name of Taxpayer WILLIAM R & ROBIN BALABAN C ca ,~
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Residence 312 N 26TH ST ~%-c
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CAMP HILL, PA 17011-3619 ~ - ~ 'Y;
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, CK~ <O2 "
unless notice of the lien is refiled by the date given in column le), this notice shall, ~.y~ '~ r-- `~:~ ~,_--- ~ ' `
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on the day following such date, operate as a certificate of release as defined
in IRC 53251a)
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Tax Period Date of Last Dayy for Unpaid Balaroce
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/1996 209-36-3667 03/01/2001 03/31/2011 4043.00
1040 ' 12/31/1998 209-36-3667 04/02/2001 05/02/2011 89314.32
1040' 12/31/1999 209-36-3667 04/09/2001 05/09/2011 9442.93
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
This notice was prepared and signed at
PITTSBURGH, PA
Total ~$
102800.25
the 22nd day of June 2001
on this,
Signature ~ ~''~'"~"~ I Title
Revenue Officer 23-01-1439
for D. I~ (717) 221-3490
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien
Rev. Rul. 71-466, 1971 - 2 C.B. 409)
Part 1 -Kept By Recording O(tice Form 668(Y)(c) IRev. 10-001
CAT. NO 60025X
Form 668 (Z)
IRev. to-2000,
499 Department of the Treasury -Internal Revenue Service
Certificate of Release of Federal Tax Lien
Area: Serial Number For Use b Recording Office
SMALL k1USINESS/SELF EMPLOYED AREA #3 ~~ ~J~ a.J UT~
Lien Unit Phone: (412) 395-5265 230176859 ']Y
I certify that the following-named taxpayer, under the requirements of section 6325 (a) ~ y2 y
of the Internal Revenue Code has satisfied the taxes listed below and all statutory /~
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additions. Therefore, the lien provided by Code section 6321 for these taxes and /~~ ~adL 90 f
additions has been released. The proper officer in the office where the notice of
internal revenue tax lien was filed on ~TUne 28
2001 is authorized to note the books to show the release of this lien for
these taxes and additions. - ~
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Name of Taxpayer vi-c~
WILLIAM R & ROBIN BALABAN ~'1~T'
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Residence 312 N 2 6TH ST ~ r-' ,_-_ --.,
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CAMP HILL, PA 17011-3619 y~C-'
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COURT RECORDING INFORMATION: -~
Liber Page UCC No. Serial No.
n/a n/a n/a 01-4028 FTL
Tax Period Date of Last Dayy for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
la1 /bl Icl ldJ leJ lfl
1040 12/31/1996 209-36-3667 03/01/2001 03/31/2011 4043.00
1040 12/31/1998 209-36-3667 04/02/2001 05/02/2011 89314.32
1040 12/31/1999 209-36-3667 04/09/2001 05/09/2011 9442.93
Place of Filing prothonotary
Cumberland County Total $ 102800.25
Carlisle, PA 17013
This notice was re ared and si ned at PITTSBURGH, PA
P P 9 , on this,
the 01st day of March 2002
Signatufe_~~ //~ ~ti-~_ Title Compliance Technical Support
l G-~/ ~._/~~,_`,i~`~' Manager
(NOTE: Certificate of officer authorized by law to lake 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 668 (Z) (Rev. 10-2000)
Part 1 -RECORDING OFFICE CAT. NO 600261
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