HomeMy WebLinkAbout03-3744
99230003 *** REFILED NOTICE *** REFILED NOTICE *** REFILED NOTICE ***
1445 REFILE REFILE
Department of the Treasury - Internal Revenue Service
Fonn 668-F
Notice of Federal Tax Lien (
Recorded, 05/05/1998 16,16 98-2579 7~,03 - 37'11 FTI..
Area: Serial Number For Optional Use by Recording Office
WAGE & INVESTMENT AREA #2 f)c', 1ZL1/; / <f. ,0
Lien Unit Phone: (412) 395-5265 239843082 1<. 11
As provided by section 6321, 6322, and 6323 of the Internal Revenue cAe.. -,1)f
Code, we are giving a notice that taxes (Including interest and penalties)
have been assessed against the following-named taxpayer. We have made ~ N0717
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 GERALD 0 ROUSH JR
(Rev. October 2000)
(')
c:
o
<..)
o
-n
:no
c::
C.""
Residence
5 VALLEY ST
LEWISTOWN, PA 17044-1852
-l'Jl
I'l'
L':~i
zr
~')~'.
~(~
s(
,::.C
.....-;c:
~..+'"
no
CJ
L
{ l
-;'-1
"
o
,_)1"";-"1
--i
--"
'-:-D
=<
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
in IRC 632i(tl)> NOT APPLICABLE TO A REFILED NOTICE ***
-<
,:..>
'J'
Tax Period Date of Last Dad: for
Kind of Tax Ending Identifying Number Assessment Refi ng
(a) (b) (c) (d) (e)
941 06/30/1993 25-1287512 09/13/1993 N/A
941 03/31/1993 25-1287512 12/06/1993 N/A
941 09/30/1993 25-1287512 12/13/1993 N/A
Unpaid Balance
of Assessment
(f)
3665.46
1501,96
5622.90
NOTICE OF FEDERAL TAX LIEN REFILING
Seria~ ID: 125452903 Notice Eiled At: Cumberland
New Address:
Signa~ure: for L=EN UNIT MANAGER
(",12) 395-5265
DATE: 07/23/2003
Title: L1EN TECHNICIAN
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $
10790.32
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the
20th day of April
1998
~gnature
V'\~UNS f?
Cc~~/
Title
REVENUE OFFICER
23-01-1419
(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 Office
Fo'm 668.F (Rev, 10-00)
CA T, NO 60025X
1872
Department of the Treasury. Internal Revenue Service
form 668 (Z)
Certificate of Release of Federal Tax Lien
125452903
/
For Use by Recording Office
a, P'f/ t~-&'b
(Rev. 10-2000)
Area:
WAGE & INVESTMENT AREA #2
Lien Unit Phone: (800) 913-6050
Serial Number
I certify that the following-named taxpayer, under the requirements of section 6325 (
of the Internal Revenue Code has satisfied the taxes listed below and all statutory
additions. Therefore, the lien provided by Code section 6321 tor these taxes and
additions has been released. The proper officer in the office where the notice of
internal revenue tax lien was filed on August 04
2003 ,is authorized to note the books to show the release of this lien for
these taxes and additions.
Ck/oJ(
tldv /(,'?F9'3
c'
c-
-"'-
'"..,'
('-'
~l:-,j
-:-'
Name of Taxpayer
GERALD 0 ROUSH JR
;',
G)
Residence 5 VALLEY ST
LEWISTOWN, PA 17044-1852
C,)
\...C,
Liber
n/a
Page
n/a
COURT RECORDING INFORMATION:
UCC No. Serial No.
n/a 03-3744-FTL
Tax Period Date of Last Dal. for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refi 109 of Assessment
(a) (b) (c) (d) (e} (f}
941 03/31/1993 25-1287512 12/06/1993 01/05/2004 1501.96
941 06/30/1993 25-1287512 09/13/1993 10/13/2003 3665.46
941 09/30/1993 25-1287512 12/13/1993 01/12/2004 5622.90
******** ********** ************* ********** ************ ****************
Place of Filing
prothonotary
Cumberland County
Carlisle, PA 17013
Total $
10790.32
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the
09th day of October
2005
Signature
~a-v a If~
Title Direct<;>r, Campus Compliance
Operat~ons
(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)
Part 1 - RECORDING OFFICE
Fo'm 668 (I) (Rev, 10-2000)
CAT, NO 600261