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HomeMy WebLinkAbout03-4332Form 668 (Y)(c) Area: Serial Number SMALL BUSINESS/SELF EMPLOYED AREA ~3 L{en Unit Phone: (412) 395-5265 131230303 As provided by section 6321, 6322, and 6323 of the Internal Revenue Code, we are giving a notice Chat taxes (including interest and penakies) have been assessed against the foriowing-named taxpayer. We have made a demand for payment of this riabirity, but k remains unpaid. Therefore, there Lq a rien in favor of ~he United States on ari proper~y and rights to property belonging to this taxpayer for the amount of these taxes, and addkionat penalties, interest, and costs that may accrue. Name of Taxpayer LORI FURRY Residence 1008 Department of the Treasury - internal Revenue Service Notice of Federal Tax Lien 7 o.0 871 W KING ST SHIPPENSBURG, PA 17257-9201 II~IPORTANT 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). For Optional Use by Recording Office Tax Period Date of Last Day for Unpaid Balance ~nd ofT ax Ending Identifying Number Assessment Retiring of Asse~ment (a) (b) (c) (d) (e) (f) 941 03/31/1999 23-2931918 11/27/2000 12/27/2010 987.77 941 12/31/1999 23-2931918 04/17/2000 05/17/2010 1489.03 941 03/31/2000 23-2931918 08/21/2000 09/20/2010 2922.63 941 06/30/2000 23-2931918 12/04/2000 01/03/2011 3424.57 941 09/30/2000 23-2931918 12/04/2000 01/03/2011 1488.41 941 12/31/2002 23-2931918 04/14/2003 05/14/2013 582.15 Place of Filing Prothonotary Cumberland County Carlisle, PA 17013 Total $ 10894.56 This notice was prepared and signed at PHILADELPHIA, PA · on this, the 25th day of August 2003 · REVENUE OFFICER 23-11-1439 for DARL~/E~ER (717) 221-3490 (NO?E: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax llen Rev. RUL 71-466, 1971 2 c,e. 409) Form &68(Y)(c) (Rev. 10-00) Part ! - Kept By R~cordln$ Office CAT, NO 60025X 11883 Department of the Treasury Internal Revenue Service Form 668 (Z) 1Hev. 10-20e01 Certificate of Release of Federal Tax Lien Area: Serial Number For Use by Recording Office SMALL BUSINESS 'SELF EMPLOYED AREA ##2 Lien Unit Phone: (800) 913-5050 1.31230303 certify that the following-Warned taxpayer, under the requirements of section 6325 (a) ' of the Internal Revenue Coda, has satisfied the taxes listed below and all statutory ?CO 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 September 05 t ` tl) , ,^a .?.,,. _ 2003 , is authorized to note the books to show the release of this lien for these taxes and additions. Name of Taxpayer 777 LORI FURRY , :. Residence 8 71 W KING ST SHIPPENSBURG, PA 17257-9201 COURT RECORDING INFORMATION: ,,/-- Liber Page UCC No. Serial No. n/a n/a n/a 03-4332 FTL a Sr 3 ?-2 Kind of Tax Tax Period Ending Identifying Number Date of Assessment Last Dayy for Refiiing Unpaid Balance of Assessment (a) (b) (c) (d) (e) (f) 941 03/31/1999 23-2931918 11/27/2000 12/27/2010 987.77 941 12/31/1999 23-2931918 04/17/2000 05/17/2010 1489.03 941 03/311/2000 23-2931918 08/21/2000 09/20/2010 2922.63 941 061/30/2000 23-2931918 12/04,/2000 01/03/2011 3424.57 941 09/30/2000 23-2931918 12/04/2000 01/03/2011 1488.41 941 12,/31/2002 23-2931918 04/14,/2003 05/14/2013 582.15 Place; of Filing Prothonotary Cumberland County Carlisle, PA 17013 Total I$ 10894.56 This notice was prepared and signed at ........ ...... .... .................... ._DERO . ', . _.. . ..- MI _..... I . .. . ._. I` . -_.- , on this, the 09th day of ?Tar:uary 2011 Signature Titles 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. 409) Form 66$ (Z) (Rev. 10-2000) Part I - RECORDING OFFICE CAT. NO 600261