HomeMy WebLinkAbout03-6386Form 668 (Y)(c)
1008
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
o 3-- 6.3 c
Area: Serial Number /or Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #3
Lien Unit Phone: (412) 395-5265 143476003 '
As provided by section 6321, 6322, and 6~2~ 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 llen 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 ma)' accrue.
Name of Taxpayer PORT
6560 CARLISLE PIKE STE 250
MECHANICSBURG, PA 17050-8250
Residence
IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice of the lien is refiled by the date given in column (el, 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
Kind of Tax Ending Identifying Number Assessment Retiring
(al (b) (c) (d) (el
941 06/30/2003 25-1751401 09/29/2003 10/29/2013
Unpaid Balance
of Assessment
(f)
13108.92
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total
13108.92
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the 13th day of
Signature,
for CINDY SIMCOX
November 2003
Title
REVENUE OFFICER
(717) 221-3490
23-11-1459
(NOTE: Certificate ofofficerauthorized bylaw retake acknowledgmentis notessentiaJtothe validity of Notice of FederaJTaxlien
Rev, RUL 71-466,1971- 2 C.B. 409)
Pa~ !- ~eptByRecord~g Office Form 66~(Y)(c)(Rev. 10-O0)
CAT, NO 60025X
Form 668 (Z)
1008
(Rev. 10-2000)
Area: ] Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #3
Lien Unit Phone: (412) 395-5265 143476003
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 December 09
2003 , is authorized to note the books to show the release of this lien for
these taxes and additions.
Name of Taxpayer
PORT DARE
Department of the Treasury - Internal Revenue Service
Certificate of Release of Federal Tax Lien
Residence6560 CARLISLE PIKE STE 250
MECHANICSBURG, PA 17050-8250
COURT RECORDING INFORMATION:
Serial No.
NO 03-6386 FTL
Date ~
Identifying Number Assessment
lc/ rd)
25-1751401 09/29/2003
Liber Page UCC No.
n/a n/a n/a
Tax Period
~nd ~ Tax Ending
941 06/30/2003
ForUsebyRecordingOffice
~st Day ~r Unpaid Balance
Refl~ng of Asse~ment
10/29/2013 13108.92
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $ 13108.92
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the 24th day of December 2003.
SignOre ~, I Title Compliance Technical
~' /~-~ '~ ~ I Manager
Support
(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 6&8 (Z) (Rev. I0-20001
Part 1 o RECORDING OFFICE CAT. NO 600261