HomeMy WebLinkAbout02-0074
499
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
Form 668 (Y)(C)
(Rev, October 2000)
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #3
Lien Unit Phone: (412) 395-5265 230183465
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 ROBERT B WEBER V M D
For Optional Use by Recording Office
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MECHANICSBURG, PA 17055-7512
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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 (el, this notice shall,
on the day following such date, operate as a certificate of release as defined
in IRe 6325(a).
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(,.)
Tax Period Date of Last Di'l. for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refi ng of Assessment
(a) (b) (cl (d) (e) en
941 09/30/2000 23-1500750 12/11/2000 01/10/2011 666.72
941 12/31/2000 23-1500750 03/19/2001 04/18/2011 2524,80
941 03/31/2001 23-1500750 06/18/2001 07/18/2011 1041. 87
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $
4233.39
This notice was prepared and signed at
PITTSBURGH, PA
, on this,
the
18th day of December
2001
for
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Title
Revenue Officer
(717) 221-3490
23-01-1437
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien
Rev. Ru!' 71-466,1971 - 2 C.8. 409)
Part 2 - Internal Revenue Service TDA Copy
Form 668(Y)(c) (Rev. 10-001
CAT. NO 60025X
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #3
Lien Unit Phone: (412) 395-5265 230183465
I certify that the following-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 filed on January 07
2002 . is authorized to note the books to show the release of this lien for
these taxes and additions.
--*--
1872
Form 668 (Z)
(Rev. 10-20001
Name of Taxpayer
ROBERT B WEBER V M D
Department of the Treasury - Internal Revenue Service
Certificate of Release of Federal Tax Lien
For Use b
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Office
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Residence 615 WILLIAMS GROVE RD
MECHANICSBURG, PA 17055-7512
COURT
Page UCC No.
n/a n/a
Tax Period
Ending
fb)
09/30/2000
12/31/2000
03/31/2001
******** **********
Liber
n/a
Kind of Tax
fa)
941
941
941
Piace of Filing
c:-:,;
RECORDING INFORMATION:
Serial No.
02-74 FTL
f',,)
(,)
(;';
Identifying Number
fe)
23-1500750
23-1500750
23-1500750
*************
Date of
Assessment
fd)
12/11/2000
03/19/2001
06/18/2001
**********
666.72
2524.80
1041.87
****************
Last Day for
Refiling
fe)
01/10/2011
04/18/2011
07/18/2011
************
Unpaid Balance
of Assessment
(fJ
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $
4233.39
Philadelphia, PA
This notice was prepared and signed at
I on this,
the
17th day of November
Signature
2004
Title Director, Payment Compliance
(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. 71A66, 1971 - 2 C.B. 409}
Part t - RECORDING OFFICE
Form 668 (Z) IRev, 10-2000)
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