HomeMy WebLinkAbout01-1696Form 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 43
Lien Unit Phone: (800) 829-3903 230171954
As provided by section 6321, 6322, and 6323 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 to
property belonging to this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs that may accrue.
Name of Taxpayer WILLIAM A CORNELL
Residence 222 S FRONT ST
WORMLEYSBURG, PA 17043-1336
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,
h d f II hd 'f' f df'
For Optional Use by Recording Office
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on t e ay o owing suc ate, operate as a certlrcate o release as a Ined
in IRC 6325(a). C'/1\'
Tax Period Date of Last Day for
Kind of Tax Ending Identifying Number Assessment Refilling
(a) (b) (c) (d) (e)
1040 12/31/1996 169-44-3041 11/14/1997 12/14/2007
1040 12/31/1998 169-44-3041 08/02/1999 09/01/2009
1040 12/31/1999 169-44-3041 06/05/2000 07/05/2010
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
This notice was prepared and signed at
the 07th day of March
PITTSBURGH, PA
2001
Unpaid Balance
of Assessment
(f)
1186.65
2698.15
8605.17
Total $
12489.97
, on this,
Signature
Title
ACS 23-01-0008
for L G DOWD (800) 829-3903
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien
Rev. Rol. 71-466, 1971 - 2 C.B. 409) Form 668(Y)(c) (Rev. 10-00)
Pan 1 - Kept By Recording Office CAT. NO 60025X
3351 Department of the Treasury - Internal Revenue Service
Form 668 (z) Certificate of Release of Federal Tax Lien
(Rev. 10-2000) Area: Serial Number For Use b Recording Office
WAGS & INVESTMENT AR$A #1
Lien Unit Phone: (800) 913-6050 230171954
1 certify that the following-named taxpayer, under the requirements of section 8325 (a)
of the Internal Revenue Code has satisfied the taxes listed below and all statutory
additions. Therefore, the lien provided by Code section 8321 for these taxes and
additions has been released. The proper officer in the office where the notice of
internal revenue tax lien was filed on March 22
2 0 01 , is authorized to note the books to show the release of this lien for
these taxes and additions.
Name of Taxpayer
WILLIAM A CORNELL
Residence 2 2 2 S FRONT ST
WORMLEYSBURG, PA 17043-1336
COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No.
n/a n/a n/a 01-1696 FTL
Tax Period Date of Last for U npdd Balance
Kind of Tax Endkg idendfjr s Humbiir Assessment ng of Assessmeet
• b o d (0) 10
1040 12 31/1996 XXX-XX-3041 11/14/1997 12/14/2007 1186.65
1040 12/31/1998 XXX-XX-3041 08/02/1999 09/01/2009 2698.15
1040 12/31/1999 XXX-XX-3041 06/05/2000 07/05/2010 8605.17
INT RNAL REVENUE SER
& I - FIELD ASSISTANC
ARRISBORG, PA 1710
JAN 1 1 2006
RECEIVED
17404
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 12489.97
This notice was prepared and signed at
Philadelphia, PA
the 11th day of January , 2008
, on this,
Signature A I Title Director, Campus Compliance
Operations
VICE
3
(NOTEt. Certificate of officer authorized by taw 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 I - RECORDItIG OFFICE CAT. NO 600261
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