HomeMy WebLinkAbout01-6972Form 668 (Y)(c)
{Rev. October 2000)
499
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #3
Lien Unit Phone: (412) 395-5265 230182857
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are f~vJng a notice that uxes (including interest and penalties)
have been assessed against the following-named ~axpayer. We have made
a demand for payment of this IhbJlity, but Jt remains unpaid. Therefore,
there is a lien in favor of the United S~ates on all property and rights to
property belonilng to this I~xpayer for the amount of these uxes, and
additional penalties, interest, and costs that may accrue.
Name of Taxpayer TIM & HEATHER L SCHENK
Residence 1210 MUSKET LN
MECHANICSBURG, PA 17055-2095
IIMPORTANT RELEASE INFORNATION: 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).
For Optional Use by Recording Office
Kind of Tax
(a)
1040
Tax Period
Ending
12/31/2ooo
Place of Filing
dentifyJng Number
(c)
162-66-9347
Prothonotary
Cumberland County
Carlisle, PA 17013
Date of
Assessment
(d)
06/04/2001
Last Day for
Refiling
(e)
07/04/2011
Total
Unpaid Balance
of Assessment
(f)
7905.08
7905.08
This notice was prepared and signed at
PITTSBURGH, PA
, on this,
the 29th day of November , 2001
Signature ~.)~ ~. ~ Title
Revenue Officer 23-01-1450
for J. WHITE (717) 221-3490
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien
Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 6&8(Y)(c) (Rev. 10-00)
Part I - Kept By Recording Office CAT. NO 60025X
Form 668(Z) Department of the Treasury - Internal Revenue Service
(Rev. 10-199g) Certificate of Release of Federal Tax Lien
Serial Number
230182857
District
SB/SE AREA #3
I certify that the following-named taxpayer, under the requirements of section 6325 (a) of the
Internal Revenue Cede 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 off~cer in the office where the notice of internal revenue tax lien was
filed on Dec~mhe_r 1 ], 200]
, is authorized to note the books to show the release of this lien for these taxes
and additions.
Name of Taxpayer
TIM & HEATHER L. SCHENK
Residence
1210 MUSKET LN
MECHANICSBURG, PA 17055-2095
For Use by Recording Office
Kind of Tax Tax Period Ended Identifying Number Date of Last Day for Unpaid Balance of
Assessment Refiling Assessment
(a) (b) (c) (d) (e)
1040 12/31/2000 162-66-9347 06/04/2001 07/04/2011 7905.08
Place ofFiling
Prothonotary
Cumberland County
Carlisle, PA 17013
To~l
$
7905.08
This notice was prepared and signed at HARRISBURG,
, on this,
the ~th day of a~i! 2002
Signature L'~ 3~,J~ ~ Title
JEFFREY WHITE ~,~ J REVENUE OFFICER (717) 221-3490 23-08-1450
(NOTE): Certificate of officer auth~o~law~ke acknowledgments is not essential to the validity of Cert#icafe of Release of Federal Tax lien Rev RuI. 7 f -466, 1971-2 C B 409
PART t-RECORDING OFFICE Form 668 (Z)(C) (Rev 10-1999)
Cat. No 600261