HomeMy WebLinkAbout03-3999 1008
Form 668 (Y)(c)
(Rev, October 2000)
Area:
WAGE & INVESTMENT AREA #2
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
399eFFL
I Serial Number For Optional Use by Recording Office
Lien Unit Phone: (800) 829-7650 127218803 ~, P~,~
As provided by section 6321, 6322, and 6323 of the Internal Revenue ~ 5'9,~
Code, we are giving a notice that ~axes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made ~ /y/,~2~'
a demand for payment of this liability, but it remains unpaid. Therefore,
there is a llen 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 ROGER A KOHR.
Residence
4405 ROYAL OAK RD
CkMP HILL, PA 17011-4145
IMPORTANT RELEASE INFOR]qATION: 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 Dace of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/1999 195-38-7834 O9/O2/2OO2 10/02/20Z2 30S05.57
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $ 30805.57
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the 05th day of August 2003
Sig~ure - ? ~ ,~ ~ Title
'~ ,' =~* / ' " ACS 12-00-0000
~or ~ 3 ~ - (800) 829-7650
(NOTE.' ~Certifi9ate of officer author!zed by I~yy~t9 ~k9 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 f - Kept By R.e~ordJng Office CAT. NO 60025X
1008 Department of the Treasury - Internal Revenue Service
Form 668 (Z) Certificate of Release of Federal Tax Lien
{Rev. 10-2000)
Area: Serial Number
WAGE & INVESTMENT AREA ~2
Lien Unit Phone: (412) 395-5265 127218803
I certify that the following-named taxpayer, under the requirements of section 6325 (a)
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
additions has been released. The proper officer in the office where the notice of
internal revenue tax lien was filed on August 15
2003 , is authorized to note the books to show the release of this lien for
these taxes and additions.
Name of Taxpayer
ROGER A KOHR
Residence4405 ROYAL OAK RD
CAMP HILL, PA 17011-4145
INFORMATION:
Serial No.
03-3999 FTL
For Use by Recording Office
)~__~.~ I V5.3'73
COURT RECORDING
Liber Page UCC No.
n/a n/a n/a
Tax Period
~nd of Tax Ending
(a)
o4o 12/31/1999
Date of Last Day for Unpaid Balance
Identifying Number Assessment Itefiiing of Assessment
lc) (d) re) (f)
195-38-7834 09/02/2002 10/02/2012 30805.57
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $ 30805.57
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the 19th day of November 2003.
Signa~r'~' ' , r-J-'
Title Compliance Technical Support
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)
Par~ I - RECORI)ING OFFICE Form 668 (Z) (Rev, 10-2000)
CAT, NO 600261