HomeMy WebLinkAbout03-4918
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For Optional Use by Recording Office
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Department of the Treasury. Internal Revenue Service
Form 668 (Y}(c)
(Rev. October 2000)
Notice of Federal Tax Lien
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #3
Lien Unit Phone: (800) 829-3903 132423503
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made
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 JOHN & BONNIE T KAZOR JR
Residence
10 W BUTLER ST
MT HOLLY SPGS, PA 17065-1205
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 IRe 6325(a).
Tax Period Date of Last Dad'; for
Kind of Tax Ending Identifying Number Assessment Refi mg
(a) (b) (c) (d) (e)
1040 12/31/1996 179-30-4361 11/12/2001 12/12/2011
1040 12/31/1997 179-30-4361 11/12/2001 12/12/2011
1040 12/31/1998 179-30-4361 11/05/2001 12/05/2011
1040 12/31/1999 179-30-4361 11/05/2001 12/05/2011
1040 12/31/2000 179-30-4361 11/05/2001 12/05/2011
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $
This notice was prepared and signed at
PHILADELPHIA, PA
the 02nd day of September, 2003
:::ate;~~~
~4
829-3903
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien
Rev. Ru!. 71.466, 1971 - 2 C,B. 4091
Form 668(Y)(cl (Rev. 10.001
CA T. NO 60025X
Title
ACS
(800)
A',
Part 1 - Kept By Recording Office
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Unpaid Balance
of Assessment
(f)
503.37
1159.46
277.92
1628.76
1508.09
5077.60
, on this,
23-00-0008
"
-- - * - -
1872
Form 668 (Z)
(Hev,10-20QOi
Department of the Treasury - Internal Revenue Service
Certificate of Release of Federal Tax Lien
Serial Number
For Use by Recording Office
.f.t, p~ · )- u'O
CA J'?9
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Area:
WAGE & INVESTMENT AREA #2
lien Unit Phone: (800) 913~-60S0
132423503
I certify that the foHowing-named taxpf'lyer, under the require:ments of section 6325 (;;
of the Internal Revenue Code has sattsfip.d the taxes listed below and ~1\ statutory
additions. Therefore, the lien provided by Code section 632 '1 for these taxes and
additions has been n:deased. The proper officer in the office where the notice of
internal revenue tax lien was filed on September 18
2003 , is authorized to note the books to show the release of this lien for
these taxes and additions_
Name of Taxpayer
,JOHN " BONNIE T KAZOR JR
.--
'"
--
Residence 10 W BUTLER ST
MT HOLLY SPGS, PA 17065-1205
Liber
n/a
COURT
uce No.
n/a
Page
n/a
Tax Period
Kind-of Tax Ending
__Iii) .~ (h)
1040 12/~1/1996
~040 12/3l/1997
1040 12/31/1998
1040 [12/31/1999
104G 12/Jl/200()
******** *~********'
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PlfiGe of :=-i1ing
RECORDING INFORMATICN:
Serial No.
03-4918-FTL /
I
I
-L
r'-,~
Date of Last Day for Unpaid Balance
Identifying Number Asses~men~ Refding Itf AssessmO!nt
~ ~ ~ ffl
179-30-4361 11/12/20(\1 12/] 2/2011 503.37
17:)-30 .4361 11-'/12/2r<,; I l2/-~2/2011 1159.46
179.30.4361 lJ/0,,:2JC:'11?/05/:'Oll 277_92
179-30-4361 Il1/'1=/'".iC1 I 17./05/2011 I 1628, '76
179-30-4361 I U/O':;/:'.Jl'-_ 12/,15/2011 t L508. 09
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2c:'otl:oTIotary
C'~mb8rla_nd Coun::y
Carlisle, PA 17013
507-;'"00.
PHILADEI,PHIA, PA
-:~I;$ ?lOi_;\;i;', \'\ias pr~ri1r9rl and s.1~ned at
(;'1&
f)7th davof
December
2005
--", -...-.~----_._- -,-
~:;~gnat~'i": f~ . 1_ TItle Direct<?r. Camplls Compl'::"a.~cc::
/? / / Operat."LOnS
..-<i.,U'l1CiAJ U. nd-~
._"_",__,"~M'_____.
(NOlI::: CertifiC3tB of offic0r autryorized by !av\' to take dcknowledgments is not e:::sential to the validity of Certificate o-t Release d
Fed('-.-;::;I Tax i"ler R~v. R'.JI. 7'1-460, 1971 - 2 S,8, 409)
Part I . RECORDING OFFICE
.:.11: lhis
FOlm 668 (Z) IRev, 10.20001
CAT, NO 600261