HomeMy WebLinkAbout03-6391Form 668 (Y)(c)
(Rev. October 2000)
1008
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
Area: Serial Number
WAGE & INVESTMENT AREA #2
Lien Unit Phone: (800) 829-7650 145456203
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 WILLIAM A CORNELL
Residence 222 S FRONT ST
WORMLEYSSURG, PA 17043-1336
h.a - f, 39/ FTL
For Optional Use by Recording Office
LE -70G
/YS 3"q
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
Kind of Tax Ending Identifying Number Assessment Refiling
(a) (b) (c) (d) (e)
1040 12/31/2000 169-44-3041 05/28/2001 06/27/2011
1040 12/31/2000 169-44-3041 04/28/2003 05/28/2013
1040 12/31/2002 169-44-3041 06/02/2003 07/02/2013
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $
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Unpaid Balance
of Assessment
(f)
1648.16
1016.60
2664.76
This notice was prepared and signed at PHILADELPHIA, PA on this,
the 26th day of November 2003
Signs a Title
L /? / ACS 12-00-0000
fo Y/ dS w L :m( /? (800) 829-7650
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien
Rev. Hui. 71-466, 1971 - 2 C.B. 409) Form 668(Y)(c) (Rev. 10-00)
Parr 1 • Kept By Recording Office CAT. NO 60025X
3 3 51 Department of the Treasury - Internal Revenue Service
Form 66e tz)
(Rev. 10-2000) Certificate of Release of Federal Tax Lien
A Serial Number For Use b Recording Office
rea:
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (800) 913-6050 145456203
1 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
WILLIAM A CORNELL
Residence222 S FRONT ST
WORMLEYSBURG, PA 17043-1336
COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No.
n/a n/a n/a 2003-06391
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Endnp kkndfytng Number AwasmWt R of Assessment
a b c d s f
1040 12/31/2000 XXX-XX-3041 05/28/2001 06/27/2011
1040 12/31/2000 XXX-XX-3041 04/28/2003 05/28/2013 1648.16
1040 12/31/2002 XXX-XX-3041 06/02/2003 07/02/2013 1016.60
INTE NAL REVENUE SERVI
8 I - FIELD ASSISTANCE
H RRISSURG, PA 17108
JAN 1 1 2008
RE CEIVED
404
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total I$ 2664.76
This notice was prepared and signed at
DETROIT, MI
, on this,
the 11th day of January 2008
Signature A
Title Director, Campus Compliance
Operations
X
(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. 408)
Part I - RECORDING OFMCE Form 668 (Z) (Rev. 10-2000)
CAT. NO 600261
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