HomeMy WebLinkAbout01-2067499
Form 668 (Y)(c)
IRev. October 2000)
Area: I Serial Number
SMALL BUSINESS/SELF EMPLOYED ~LREA #3
Lien Unit Phone: (80O) 829-3903 230173024
As provided by section 63211, 6322, and 6323 of the Internal Revenue
Code, we are gking 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 Jt 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 SANDY S OLSEN
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
Residence
34 BALI I-IAI RD APT 34A
MECI-IANICSBURG, PA 17055-1902
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).
For Optional Use by Recording Office
Tax Period Date of Last Day~r Unpaid Balance
~nd ofT ax Endhg Identifying Number Assessment Retiring of Assessment
~) (b) (c) (d) (e) (0
i040 12/31/1993 208-38-5062 05/30/1994 06/29/2004 3987.57
'1040 12/31/1994 208-38-5062 05/29/1995 06/28/2005 4483.40
1040 12/31/1995 208-38-5062 05/20/1996 06/19/2006 1690.29
1040 12/31/1996 208-38-5062 05/26/1997 06/25/2007 1068.06
1040 12/31/1998 208-38-5062 05/31/1999 06/30/2009 2171o03
1040 12/31/1999 208-38-5062 06/05/2000 07/05/2010 2361.48
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total
15761.83
This notice was prepared and signed at
PITTSBURGH, PA
, on this,
the 28th dayof March 2001
Signature "'~ ' . I Title
I 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. Rul. 71-466, 1971 - 2 C.B. 409)
Form &68(Y)(c) (Rev. 10-00)
Part I - Kept By Recording Office CAT. NO 60025X
--*--
Form 668 (Z)
fRev. 10-20001
11883
Area:
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050
230173024
I certify that the following-named taxpayer, under the requirements of section 6325 (a)
of the Internal Revenue Code has satisfied the taxes listed be{ow 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 09
2001 is authorized to note the books to show the release of this lien for
these taxes and additions.
rvame or I axpayer
SANDY S OLSEN
Residence 34 BALI HAI RD APT 34A
MECHANICSBURG, PA 17055-1902
11th day of July
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COURT RECORDING INFORMATION:
Liber Page UCC No . Serial No .
n/a n/a n/a 01-2067 FTL ~~~/~~~
~'~~ P°t' ~~- ~~~"a'"~""~
~ ~ 7 ~
Kind of Tax Tax Period
Ending
Identifying Number Date of
Assessment Last Dayy for
Refiling Unpaid Balance
of Assessment
~ b ° d e f
1040 12/31/1993 XXX-XX-5062 05/30j1994 06/29/2004 3987
57
1040 12/31/1994 XXX-XX-5062 05/29/1995 06/28/2005 .
4483
40
1040 12/31/1995 XXX-XX-5062 05/20/1996 06/19/2006 .
1690
29
1040 12/31/1996 XXX-XX-5062 05/26/1997 06/25/2007 .
1068.06
1040 12/31/1998 XXX-XX-5062 05/31/1999 06/30/2009 2171.03
1040 12/31/1999 XXX-XX-5062 06/05/2000 07/05/2010 2361.48
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
For
Total ~$ 15761.83
This notice was prepared and signed at
the
Signature
Department of the Treasury -Internal Revenue Service
Certificate of Release of Federal Tax Lien
Serial Number
Philadelphia, PA
2010
~i
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`~'7 T?
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:r
on this,
Title Director, Campus Compliance
Operations
(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. Rui. 71-466, 1971 - 2 C.B. 409)
Part f -RECORDING OFFICE Form 668 (Z) IRev. 10-2000)
CAT. NO 600261