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HomeMy WebLinkAbout01-06396 99 Form 668 (Y)(c) Department of the Treasury - Internal Revenue Service (Rev. October 2000) Notice of Federal Tax Lien Area: Serial Number For Optional Use by Recording Office WAGE & INVESTMENT AREA #2 Lien Unit Phone: (80o) 829-7650 230181725 Ab-01- (c39(a ?T? As provided by section 6321, 6322, and 6323 of the Internal Revenue p? r q, w Code, we are giving a notice that taxes (including interest and penalties) have been assessed against the following-named taxpayer. We have made U2.3 & a demand for payment of this liability, but it remains unpaid. Therefore, PG 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. M-' - Name of Taxpayer MATTHEW J KOSTELAC M 1!=' Residence 20 DEER LN ,-. CARLISLE, PA 17013-9093 NT RELEASE INFORMATION: For each assessment listed below, K; e of the lien is refiled by the date given in column (e), this notice shall, E following such date, operate as a certificate of release as defined o n I 5(a). RC i Tax Period Date of Last Day for U npaid Balance Kind of Tax Ending Identifying Number Assessment Refiling of Assessment (a) (b) (c) (d) e) (f) 1040 12/31/1997 173-52-0976 04/10/2000 05/10/2010 8148.14 Place of Filing Prothonotary Cumberland County Carlisle, PA 17013 This notice was prepared and signed at the 02nd day of November PITTSBURGH, PA Total 1 $ 8148.14 2001 on this, Signature f„ ,_ r Title .r?>:"a ACS 23-01-0000 for P S LANE (800) 829-7650 (NOTB: 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) IRev. 10-00) Part 1 - Kept By Recording Office CAT. NO 60025X o, ? ` ?S ? a Form 668 (Z) (Rev. 10-2000) 6152 Department of the Treasury - Internal Revenue Service Certificate of Release of Federal Tax Lien Area: Serial Number For Use by. Recording Office WAGE & INVESTMENT AREA #1 e , Lien Unit Phone: (800) 913-6050 230181725 d I certify that the following-named taxpayer, under the requirements of section 6325 (a) y4 Qb of the Internal Revenue Code has satisfied the taxes listed below and all statutory $z additions. Therefore, the lien provided by Code section 6321 for these taxes and 7 7 additions has been released. The proper officer in the office where the notice of internal revenue tax lien was filed on _ November 09 2001 is authorized to note the books to show the release of this lien for [? n a these taxes and additions. = , Name of Taxpayer } r MATTHEW J KOSTELAC Residence 2 0 DEER LN --° CARLISLE, PA 17013-9093 t5 COURT RECORDING INFORMATION: :17 Liber Page UCC No. Serial No. n/a n/a n/a 01-6396 FTL Tax Period Date of Last D for Unpaid Balance Kind of Tax Ending Identifying Number Assessment Refilling of Assessment a) (b) Ire d) red f 1040 12/31/1997 XXX-XX-0976 04/10/2000 05/10/2010 8148.14 ******** ********** ************* ********** ************ **************** Place of Filing Prothonotary Cumberland County Carlisle, PA 17013 Total 1 $ 8148.14 This notice was prepared and signed at Philadelphia, PA the 22nd day of July , 2009 Signature , on this, Title Director, Campus Compliance Operations (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. 4091 Form 668 (Z) (Rev. 10-2000) Part 1 - RECORDING OFFICE CAT. NO 600261