HomeMy WebLinkAbout09-2430Form 668 (Y)(c)
(Rev. February 2004)
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax lien -~. v ~, ~ y ~ ~ ~ T,.
Area: Serial Number For Optional Use by Recordin g Office
SMAi,L BUSINESS/SELF EMPIAYED AREA #2
Lien Unit Phone: (800) 913-6050
534125409
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AS provided by section 6321, 6322, and 6323 of the Internal Revenue y ~~ ~
Code, we are giving a notice that taxes (including interest and penaftks) «-
have been assessed against the followring-named taxpayer. We have made G~
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a demand for payment of this liability, but it remains unpaid. Therefore, ,
there is a Ikn in favor of the United States on al! property and rights to r,,,
property belonging to this taxpayer for the amount ~ these taxes, and c~-`_
additional penalties, interest, and costs that may accrue. ~ ~ ;~. ~
Name of Taxpayer CARL M PEFFLEY JR. DMD FC a Corporate n ~ `~~
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Residence 4003 TRINDLE RD _ ~_
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CAMP HILL, PA 17011-4248 -
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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 Perbd Date of Lla~y for
Last Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Re
filing of Assessment
a) b c d) e
941 03/31/2008 23-1966746 09/01/2008 10/01/2018 7 255.01
941 06/30/2008 23-1966746 09/29/2008 10/29/2018 147.96
Place of Filing
This notice was prepared and signed at DETROIT, MI
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 7402.97
the 09th day of April 2009
on this,
Signature ~ ~ ~/y1~~~ RtIEVENUE OFFICER 22 - 06 -14 0 7
for SEAN DUNLEAVY (717) 777-9626
- - -
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax Tien
Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 668(n(c) iRev. 2-20041
Part t -Kept By Itetordin~ Office CAT. NO 60025X
11883 Department of the Treasury - Internal Revenue Service
Form 668(Z)
(Rev. 10-2000) Certificate of Release of Federal Tax Lien
Area: Serial Number For Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 534125409
1 certify that the following-named taxpayer, under the requirements of section 6325 (a) - 4136) IC ?(,
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 17
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2009 , is authorized to note the books to show the release of this lien for
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these taxes and additions.
Name of Taxpayer =M Xw-
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CARL M PEFFLEY JR DMD PC, a Corporation w
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Residence 4 0 0 3 TRINDLE RD ?-n
CAMP HILL, PA 17011-4248 "-- C:)
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COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No.
/ fa,
14
n
a n/a n/a 09-2430 FTL
ts U
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)
941 03/31/2008 23-1966746 09/01/2008 10/01/2018 7255.01
941 06/30/2008 23-1966746 09/29/2008 10/29/2018 147.96
******** ********** ************* ********** ************ ****************
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 7402.97
This notice was prepared and signed at
the 19th day of January
Signature
DETROIT, MI
2011
, on this,
Title Director, Campus Compliance
Operations
'441 1
(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 668 (Z) (Rev. 10-2000)
Part 1 - RECORDING OFFICE CAT. NO 600261