HomeMy WebLinkAbout04-0826Form 668 (Y)(c)
(Rev. February 2004-)
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #3
Lien Unit Phone: (800) 829-3903 157656204
As provided by section 6521, 6322, and 6323 of the internal Revenue
Code, we are giving a notice that taxes (including interest and panalties)
have been assessed against the following-named ~axpayer. We have made
a demand for payment of this tJabJlJty, hut 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 MICHAEL B COOK
Residence
1008
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien 0
2107 E COVENTRY LN
ENOLA, PA 17025-1276
IlflPORTANT RELEASE INFORIflATION: For each assessment listed below,
unless notice of the lien is refiled by the date given in cotumn (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
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/1997 189-44-1539 11/05/2001 12/05/2011 7704 .78
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $ 7704.78
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the~ 13th day of February 2004
(~ ~/~?~'c~ ~ ACS 23-00-0008
fo~ L LEDER (800) 829-3903
(NOTE: dertificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien
Form 668(Y)(c) (Rev. 2-2004)
Par~ ! - Kept By Recording Office
CAT. NO 6002§X
Form 668 (Z)
{Rev. 10-2000)
Area: I Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #3
Lien Unit Phone: (412} 395-5265 157656204
I certify that the followieg-named taxpayer, under the requirements of section 6326 (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 February 26
2004 , is authorized to note the books to show the release of this lien for
these taxes and additions.
Name of Taxpayer
MICHAEL B COOK
1872 Department of the Treasury - Internal Revenue Service
Certificate of Release of Federal Tax Lien
Residence2107 E COVENTRY LN
ENOLA, PA 17025-1276
COURT RECORDING INFORMATION:
Serial No.
04-826 FTL
For Use by Recording Office
Liber Page UCC No.
n/a n/a n/a
Tax Period
Kind of Tax Ending
fa) lb)
1040 12/31/1997
Date of Mst Day ~r
Identifying Number Assessment Refiling
(c) rd) re)
189-44-1539 11/05/2001 12/05/2011
Unpaid Balance
of Assessment
7704.78
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $ 7704.78
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the llth day of August 2004.
Si~tur(~ ~ ~
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.8. 409) Form 668 (Z) (Rev. 10-2000)
Part 1 - RECORDING OFFICE CAT. NO 600261