HomeMy WebLinkAbout03-5515Form 668 (Y)(c)
(Rev. October 2000)
1008
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien 7~ ~..rs/~- FT-/_
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #3
Lien Unit Phone: (412) 395-!5265 136185303
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Cede, 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 Jn 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 ELISS rUT,T, SERVICES SA~ON INC , a Corporat±on
600 N FRONT ST
WORMLEYSBURG, PA 17043-1022
Residence
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).
For Optional Use by Recording Office
p:t ,,.,.
Tax Period Date of Last Day for
Kind of Tax Ending Identifying Number Assessment Reflllng
(a) (b) (c) (d) (e)
941 03/31/2003 25-1826511 07/07/2003 08/06/2013
Unpaid Balance
of Assessment
(f)
14059.71
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total
14059.71
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the 25th day of
for JEFFREY WHITE
September 2003
Title
REVENUE OFFICER
(717) 221-3490
23-11-1450
(NOTE: Certificate ofofficerauthorized bylaw totake acknowledgmentis notessentialtothe validity of Notice of FederalTaxlien
Rev. Rul. 71-466,1971-2 C.8. 409)
Pa~ I- Kept By Recording Off]ce Form 668(¥)(c)(Rev. 10-00)
CAT. NO 60025X
WHEREAS, Bliss Full Services Salon Inc. Of 600 North Front Str~,{ C ty of.Wormleysburq, County of Carlisle, State
of~, is indebted to the United States for unpaid internal revenue tax in the sum Of .Fourteen Thousand Fifty Nine
Dollars and Sevent One Cents ($15,059.71) as evidenced by:
NOTICE OF FEDERAL
· ~AX EtEN
SERIAL NUMBER
'(a)
136185303
RECORDING .'
INFORMATION
(b)
NOO3-5515FTL
RECORDED
(c)
10/17/2O03
'TAXPAYER IDENTIFICA~0N
NUMBER.
(d)
2~1826511
AMOUNT SHOWN'
· ON LIEN
(e)
$14,059.71
WHEREAS, to secure the collection of said [ax, notice of the lien of the United States, attaching to all the proper~y
and rights to property of the said taxpayer on account of said tax indebtedness was filed with the Cumberland Prothonota .-
Office. for the County of Cumberland, in accordance with the applicable provisions oflaw.
WHEREAS, the lien of the United States, listed above, for said tax has attached to certain property described as:
See attached description of personal property
Form669-C (Rev. 2-92)
WHEREAS, the Area Director of Internal Revenue has determined that the interest of the United States in the
foregoing property, under and by virtue of its aforesaid tax lien, is now valueless;
NOW, THEREFORE, THIS INSTRUMENT WITNESSETH, That I, An' M. Babb Actin Area Director of Internal
Revenue at Philadelnhia. Pa 19106, charged by law with the duty of collecting and enforcing the collection of internal revenue
taxes due the United States, and charged with the assessment hereinbefore stated; do, pursuant to the provisions'of section
6325(b)(2)(B), of the Internal Revenue Code discharge the property heretofore described from the aforesaid tax lien, saving
and reserving, however, the force and effect of said tax lien against and upon all other property or rights to property to which
said lien is attached, wheresoever situated.
WITNESS.my hand at 600 Arch Street, Room 3259. Philadelphia. Pa 19106, on this, the 3rd day of March, 2004.
ITitle Technical Services Group Manager
Form669-C (Rev. 2-92)
.,Equipmqnt Est
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Technical Services Group Manager
Date