HomeMy WebLinkAbout03-5174Fon~ 668, (Y)(c)
(Rev, October 2000)
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #3
Lien Unit Phone: (412) 395-5265 133785603
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 cos~ chat may accrue.
Name of Taxpayer DLBRB INC , a Corporation
Residence
1008
Department of the Treasury ~ Internal Revenue Service
Notice of Federal Tax Lien
5049 RITTER RD
MECHANICSBURG, PA 17055-4884
IIqPORTANT RELEASE INFORIWATION: For each assessment listed below,
unless notice of the lien is refiJed by the date given in column (e), this notice shall,
on the day following such date, operate as a cerLificate of release as defined
in IRC 6325(a).
For Optional Use by Recording Office
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Retiring of Assessment
(a) (h) (c) (d) (e) (f)
941 09/30/2002 25-1802251 01/27/2003 02/26/2013 6542.13
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $ 6542.13
This notice was prepared and signed at
PHIIJ~DELPHIA, PA
, on this,
the llth day of September, 2003
Signat~ - ,z.J~ ~,~ Title ,i
~/ ) .,~/;,~,.[.~f.~ /)2. REVENUE OFFICER 23-11-1439
for DARLENE FISHER (717) 221-3490
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essentleJ to ?be/validity of Notice of Federal Tax lien
Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form A6~t(¥)(c) (Rev. 10-00)
Part ! - Kepi[ By Recording Office CAT. NO 60025X
Form 668(Z) Department of the Treasury - Internal Revenue Service
(Rev. 10-1999) Certificate of Release of federal Tax Lien
Serial Number For Use by Recording OffIce
Small Business/Self Employed Area: 3 133785603
I certify that as to the following-named taxpayer, the requirements of section 6325 (a) of th" COURT RECORDING INFORMATION
Internal Revenue Code have been satisfied for the taxes listed below and for all statutory No.03-5174 FTL
addiUons. Therefore, the lien provided by Code secUon 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 30, 2003 , is authorized to note the books to show the release of this Ii..n for
these taxes and additions.
Name of Taxpa~r
DLBRB INC, a Corporation
Residence
5049 Ritter Rd.
Mechanicsburg, PA 17055-4884
Kind of Tax Tax Period Ended Identifying Number Date of Last Day for Unpaid Balance
Assessment Reffling of Assessment
(a) (b) (c) (d) (e) (f)
941 09/30/2002 25-1802251 01/27/2003 02126/2013 $6,542.13
Place of Filing $6,542.13
Prothonotary Total
Cumberland County
Carlisle, PA 17013
This notice was prepared and signed at Harrisburg, PA, on this, the 26th day of ,Ianuary , 2005 .
Sign1\'re
~f?A.J..:.
Dennis P. Zmudzin,~~~i- 23-D2354
itle
Revenue Officer, Ph<>ne#-717-221-3490 X131
(NOTE: Certificate of officer aulhorized by lew to lake acknowledgements is nol essantial to the validity of c<.rtiticate of Release of Federal Tax Uen Rev. Rul. 71-466,
1971-2 G.B. 409)
Part 1 - Recording Office
Fonn 668(Z) (Rev. 10-1999)
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1872
Department of the Treasury - Internal Revenue Service
Certificate of Release of Federal Tax Lien
J
Fonn 668 (Z)
(Rev. 10-2000l
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 September 30
2003 , is authorized to note the books to show the release of this Jien for
these taxes and additions,
For Use by Recordin Office
it. (Jcf( · j' "'-0
Ck ((J('3
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #3
Lien Unit Phone: (412) 395-5265 133785603
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Name of Taxpayer
DLBRB INC , a Corporation
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Residence5049 RITTER RD
MECHANICSBURG, PA 17055-4884
Liber
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Page
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COURT RECORDING INFORMATION:
UCC No. Serial No.
n/a N003-5174FTL
Tax Period Date of Last Dad. for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refi mg of Assessment
(a) (b) (e) (d) (e) (f)
941 09/30/2002 25-1802251 01/27/2003 02/26/2013 6542.13
******** ********** ************* ********** ************ ****************
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $
6542.13
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the 02nd day of February , 2005
Signature
Title Director, Payment Compliance
(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 t - RECORDING OFFICE
Form 668 (Z) IRev. 10-20001
CAT. NO 600261
1872
Department of the Treasury - Internal Revenue Service
Certificate of Release of Federal Tax Lien
/
Fonn 668 (Z)
(Rev. 10-2000)
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #3
Lien Unit Phone: (412) 395-5265 133785603
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 hen was filed on September 30
2003 ,is authorized to note the books to show the release of this lien for
these taxes and additions.
For Use by Recordin Office
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Name of Taxpayer
DLBRB INC , a Corporation
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Residence5049 RITTER RD
MECHANICSBURG, PA 17055-4884
Liber
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Page
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COURT RECORDING INFORMATION:
UCC No. Serial No.
n/a N003-5174FTL
.,1:-
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilmg of Assessment
(a) (b) (e) (d) (e) (f)
941 09/30/2002 25-1802251 01/27/2003 02/26/2013 6542.13
******** ********** ************* ********** ************ ****************
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $
6542.13
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the 02nd day of February , 2005
Signature
Title Director, Payment Compliance
(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. Ru!. 71-466,1971 - 2 C.B. 409)
Part 1 . RECORDING OFFICE
Form 668 (Z) IRev. 10-20001
CA T. NO 600261