HomeMy WebLinkAbout04-2349Form 668 (Y)(c)
[Rev. February 2004)
Area: I Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #3
I
Lien Unit Phone: (800) 829-3903 173005704
As provided by section 632l, 6322, and 6325 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 co
property belonging to this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs that may accrue.
Name of Taxpayer RONALD W & DEBOP~AH J SMITH
Residence
1008
Department of the Treasurv- Internal Revenue Service
Notice of Federal Tax Lien
For Optional Use by Recording Office
4902 CARLISLE PIKE APT PMB 405
MECHANICSBURG, PA 17050-3079
IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice of the lien is refiied 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 Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Retiiing of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/1996 459-78-4322 11/16/1998 12/16/2008 1652.36
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $ 1652.36
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the 18th day of May 2004
Title
ACS 23-00-0008
Certificate of officer authorized by law to take acknowledgment is not essential to the validlty of Notice of Federal Tax lien
Form 668(~)(() trey. 2-2004)
Pa~ I - Kept By Recording O~ce CAT. NO 60025X
Form 668 (Z)
Area: I Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #3
Lien Unit Phone: (412) 395-5265 173005704
I certify that the fo)lowing-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 flied on May 25
2004 , is authorized to note the books to show the re,ease of this lien for
these taxes and additions.
Name of Taxpayer
RONALD W & DEBORA~ J SMITH
18 ? 2 Department of the Treasury - {nterna{ Revenue Service
Certificate of Release of Federal Tax Lien
Residence4902 CARLISLE PIKE APT PMB 405
MECHANICSBURG, PA 17050-3079
For Use by Recording Office
COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No.
n/a n/a n/a 04-2349 FTL
Tax Period Date of Last Day ~r Unpaid Babnce
~nd ~ Tax Ending Identifying Number Assessment Retiring ~ Assessment
fa) lb) lc) /d) re) ~
1040 12/31/1996 459-78-4322 11/16/1998 12/16/2008 1652.36
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $ 1652.36
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the 15th dayof September, 2004.
Signati]~e ?;
/7 .~ ~ 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 ~ien Rev. Rul. 71-466, 1971 - 2 C.B. 409} Form &68 (Z) {Rev. 10-2000)
Pa~ 1 - RECORDING OFFICE CAT. NO 600261