HomeMy WebLinkAbout03-5507Form 668 (Y)(c)
(Rev, October 2000)
Area: I Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #3
Lien Unit Phone: (412) 395-5265 138305503
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 DLBRB INC , a Corporation
Residence
1008
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
For Optional Use by ~{ecording Office
5049 RITTER RD
MECHANICSBURG, PA 17055-4884
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 Unpaid Balance
~ndofTax Ending Identifying Number Assessment Retiring of Assessment
(a) (b) (c) (d) (e) (f)
941 06/30/2002 25-1802251 09/23/2002 10/23/2012 9423.51
941 12/31/2002 25-1802251 04/07/2003 05/07/2013 1308.72
941 03/31/2003 25-1802251 06/30/2003 07/30/2013 17465.36
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $ 28197.59
This notice was prepared and signed at
the 09th day of October
PHILADELPHIA,
2003
PA
, on this,
Signa.z.t~ ., ~JF
Title
for~D~ER ~' ~ REVENUE(717) 221-3490 OFFICER 23-11-1439
(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)
Part ! - Kept By Recording Office Form 668(Y)(c) (Rev. 10-00)
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 138305503
I certify that as to the following-named taxpayer, the requirements of section 6325 (a) of the COURT RECORDING INFORMATION
Internal Revenue Code have been satisfied for the taxes listed below and for all statutory No.03-5507 FTL
additions. Therefore, the lien provided by Code section 6321 for these taxes and add~ions has
been released. The proper officer in the office where the notice of internal revenue tax lien was
filed on October 17, 2003, is authorized to note the books to show the release of this lien fix
these taxes and additions.
Name of Taxpayer
DLBRB INC, a Corporation
Residence
5049 Riller Rd.
Mechanicsburg, PA 17055-4884
Kind of Tax Tax Period Ended Identifying Number Date of Last Day for Unpaid Balance
(a) (b) (e) Assessment Reflling of Assessment
(dl (e) (f)
941 06/30/2002 25-1802251 09/23/2002 1 0/23/2012 $9,423.51
941 12/31/2002 25-1802251 04/07/2003 05/07/2013 $1,308.72
941 03/31/2003 25-1802251 06/30/2003 07/30/2003 $17,465.36
Place of Filing
Prothonotary Total $28,197.59
Cumberland County
Carlisle, PA 17013
This notice was prepared and signed at Harrisburg, PA, on this, the 26th day of Januarv , 2005 .
Signature
in, - I?~
~udZia~pio~e# - 23-02354
Itle
Revenue Officer, Phone # -717-221-3490 X131
(NOTE: Cartiffeate of officer authorized by law to take acknowledgements is not essential to the validity of Gertiffeate of Release of Federal Tax Lien Rev. Rul. 71-466,
1971-2 G.B. 409)
Part 1 - Recording Office
Fonn 668(Z} (Rev. 10-1999)
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