HomeMy WebLinkAbout01-1947
Form 668 ~Z)
(Rev. 10-2000)
Area: Serial Number
WAGE & I~TVESTMENT AREA #2
lien Unit Phone: (412) 395-5265 230172421
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 April 03
2001 , is authorized to note the books to show the release of this lien for
these taxes and additions.
1008 Department of the Treasury - Internal Revenue Service
Certificate of Release of Federal Tax Lien
For Use by Recording Office
Name of Taxpayer
T~OHA$ R F[OAC-
ResidenceZ22 S 3RD ST -,:
LEMOYNE, PA 17043-1910
COU~T P..'~.CO~DT~G T~FO~NATTON: ';"; -- "~
Liber Page UCC No. Serial No. ::
n/a n/a n/a 01-1947 FTL
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Humber Assessment Reflling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/1996 169-44-5077 06/22/1998 07/22/2008 1572.89
1040 12/31/1997 169-44-5077 09/21/1998 10/21/2008 3115.88
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $ 4688.77
This notice was prepared and signed at
Philadelphia, PA
, on this,
the 30th day of July
2003.
Sign~ure , ~JF
Title Compliance Technical Support
Manager
(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 I - RECORDING OFFICE Form 668 (Z) (Rev, 10-2000)
CA/. NO 600261