HomeMy WebLinkAbout01-04558499 Department of the Treasury -Internal Revenue Service
Form 666 (z> Certificate of Release of Federal Tax Lien
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Area: Serial Number For Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #3
230177997 ~~ T~~
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Lien Unit Phone: (412) 395-5265 t
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I certify that ihefollowing-named taxpayer, under the requirements of section 6325 (a) ~ ~ a, y
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 ~,,.. /za44/
additions has been released. The proper officer in the office where the notice of
internal revenue tax lien was filed on July 30
2001 , is authorized to note the books to show the release of this lien for {~ ~ rJ
these taxes and additions. C
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Name of Taxpayer mn!
WILLIAM R & ROBIN BALABAN zz~
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Residence312 N 26TH ST ~ ~ - ~r
CAMP HILL, PA 17011-3619 ~ " -~!
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COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No. -
n/a n/a n/a 01-4558 FTL
Tax Period Date of Last Dayy for Unpaid Balance
IGnd of Tax Ending Identifying Number Assessment R efiling of Assessment
(a) Ib) (c) Idl (e) (f)
1040 12/31/1997 209-36-3667 04/30/2001 05/30/2011 11347.63
Place of Filing prothonotary
Cumberland County
Carlisle, PA 17013
This notice was prepared and signed at
PITTSBURGH, PA
Total ~$
11347.63
the 01st day of March 2002
on this,
Slgna red - //~ -~~------ V /~ I Title Compliance Technical Support
G'~ ~ `- 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. Rul. 71-466, 1971 - 2 C.B. 409) Form 668 (Z) (Rev. 10-2000)
Part t -RECORDING OFFICE CAT. NO 600261
Form 668 (Y)(c)
IRev. October 20001
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax Lien
Area: Serial Number O
ffi
ce
For Optional Use by Recording
SMALL BUSINESS/SELF EMPLOYED AREA #3
0177997 r
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Lien Unit Phone: (412) 395-5265 23 ~
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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)
We have made
have been assessed against the following-named taxpayer.
.
a demand for payment of this liability, but it remains unpaid. Therefore, ~
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there is a lien in favor of the United States on all property and rights to _
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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
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Residence 312 N 26TH ST =- -
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CAMP HILL, PA 17011-3619
IMPORTANT RELEASE INFORMATION: For each assessment listed below, > .~) ~7
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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 ~ 1
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in IRC 63251a). 1 ~
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Tax Period Date of last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Retiling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/1997 209-36-3667 04/30/2001 05/30/2011 11347.63
Place of Filing
prothonotary
Cumberland County
Carlisle, PA 17013
This notice was prepared and signed at
the 23rd day of July
PITTSBURGH, PA
Total ~ $
11347.63
2001
on this,
Signature / N'~ ~ Title
'l•/ Revenue Officer 23-01-1439
for D. FISHER (7171 22i-~aan
(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) Form 668(Y)(c) (Rev. 10-00)
Part t -Kept By Recording Office CAT. NO 60025X