HomeMy WebLinkAbout03-3745Form 668 (Y)(c)
(Rev. October 2000)
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #3
Lien Unit Phone: (412) 395-5265 124663603
As provided by section 632l, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that ~axes (including interest and penalties)
have been assessed against the following-named ~axpayer. We have made
a demand for payment of this liability, but it remains unpaid. Therefore,
there is a lien in favor of the United S~ates on all property and Fights to
property belonging to this uxpayer for the amount of these Uxes, and
additional penalties, interest, and costs that may accrue.
Name of Taxpayer KEITH PEIFER
Residence
1008
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
.os- ,Y,'?vx' F-7'L
For Optional Use by Recording Office
1025 AUDUBON RD
MECHANICSBURG, PA 17055-4801
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 6325(a).
Tax Period Date of Last Day for
Kind of Tax Ending Identifying Number Assessment Retiring
(a) (b) (c) (d) (e)
941 06/30/2000 23-2148530 03/24/2003 04/23/2013
Unpaid Balance
of Assessment
(f)
426.89
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $ 426.89
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the 18th dayof July 2003
Sign atu¢~/ / ~-~--___ /_ Title
Q J"/~,-~,~/.C_. O~)'/C.~. ,~,~. REVERE OFFICER ~-ii-i~
for ~~~ // (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) Form ~8(Y)(c) (Rev. 10-00)
Pa~ 1 - Kept By R~ording O~ce CAT. NO 60025X
Form 668 (Z)
(Rev, 10-2000)
Area: I Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #3
Lien Unit Phone: (412) 395-5265 124663603
~ certify that the fo))owing-named taxpayer, under the requirements of section 6325 la)
of the Interna) Revenue Code has satisfied the taxes )isted below and all statutory
additions. Therefore, the IJen provided by Code section 6321 for these taxes end
additions has been re)eased. The proper officer in the office where the notice of
interna) revenue tax lien was flied on August 04
2003 , is authorized to Dote the books to show the release of this lien for
these taxes and additions.
Name of Taxpayer
KEITH PEIFER
1445 Department of the Treasury - Internal Revenue Service
Certificate of Release of Federal Tax Lie ]
Residence 1025 AUDUBON RD
MECHANICSBURG, PA 17055-4801
COURT RECORDING INFORMATION:
Serial No.
03-3745-FTL.-
For Use by Recording Office
Liber Page UCC No.
n/a n/a n/a
Tax Period
Kind of Tax Ending
fa)
941 06/30/2000
Date of Last Day for Unpaid Balance
Identifying Number Assessment Retiring of Assessment
lc) rd) re;
23-2148530 03/24/2003 04/23/2013 426.89
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $ 426.89
This notice was prepared and signed at
PHILADELPHIA, PA
__ , on this,
the 04th day of_ June
2004.
Sig~ature~
Title Compliance Technical Support
Manager
(NOTE: Certificate of officer authorized by )aw to take acknowledgments is not essential to the validity of Certificate of Release of
Federal Tax lien Rev. Rul. 71 466, 1971 2 C.C. 409)
Part I - RECORDING OFFICE Form 668 (Z) IRev. 10-2000)
CAT. NO 600261