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23010061 *** REFILED NOTICE *** REFILED NOTICE *** REFILED NOTICE ***
2941 REFILE REFILE
Department of the Treasury - Internal Revenue Service
fonn 668 (Y)(c) Notice of Federal Tax Lien
(Rev. October 2000)
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #3 Recorded: 08/26/1991 15:13 12 6013
Lien Unit Phone: (412) 395-5265 239119453 :#01-- ,390;)
As prcwIded by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are Blvlng a notke that wees (Including Interest and penalties)
have been assessed against the foDowIng-named wepayer. We have made ~l'~
a demand for payment of this IlablDty, but It nmalns unpaid. Therefore, 2 c::>
-
then Is a lien In favor of the United States on all property and rights to . ,
~ <e . ,.
property belonalng to this taxpayer for the amount of these wees, and . "'f-:
additional penalties, Interest, and costs that may accrue. ~gj ~ .~;.:~.~1
I
~ j:"
Name of Taxpayer JACK S PUTT -.."::;.,
~7- ..:..'I~P
JACK PUTT PAINTING CJ -1:l
I<:: ".% >~
~C t.-; ,.
7; - -.
Residence ., ~
101 BUNGALOW RD f".3
ENOLA, PA 17025-2313 ~"
IMPORTANT RELEASE INFORMATION: For each assessment listed below, CJI.l ~
unless notice of the lien is refiled by the date given in column Ie), this notice shall,
on the dey following such date, operate as e certificate of release as defined ~ lld. W(,>[
in IRe 632lilfl" "",... ~ ~~. ~. -.N' 'T'() ll. """nT "',.... ***
Tax Period DaD of Last ::; for Udpald Balance
Kind of Tax Ending Identifying Number Assessment Reft ng of Assessment
(al (bl' (c-l (dl (e) (f)
941 06/30/1990 23-2456985 OS/27/1991 N/A 14973.12
NOTICE OF FED, RAL TAX LI ~N REFILING
Seria ID: 23017 712 Notice' iled At: C mberland Cou ty
New A dress:
Signa ure: for P WILSON DATE: 05, 22/2001
( 12) 395-5265 Title: Bi ANCH CHIEF
Place of Filing
Prothonotary Total $
Cumberland County 14973.12
Carlisle, PA 17013
f:!L
This notice was prepared and signed at
PITTSBURGH, PA
, on this,
the
20th day of August
1991
Signature
Title
MANAGER
for patricia Betlejewski- ACS 23-01-0000
(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. 4091
'an I - Kept By _In, orne.
Form 668(Y)(e) IRev. 10-001
CAT. NO 60025X
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1872
Department of the Treasury - Internal Revenue Service
Certificate of Release of Federal Tax Lien
Form 668 (Z)
(Revo 10-2000l
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #3
Lien Unit Phone: (412) 395-5265 230175712
For Use by Recordin Office
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 June 04
2001 , is authorized to note the books to show the release of this Ijen for
these taxes and additions.
:; !:Oo /)cl.
~/l~
)-:( it 11.,./2.'13
Name of Taxpayer
JACK S PUTT
JACK PUTT PAINTING
Residence 101 BUNGALOW RD
ENOLA, PA 17025-2313
Liber
n/a
Page
n/a
COURT
uec No_
n/a
RECORDING INFORMATION:
Serial No.
01-3402 FTL
Tax Period Date of Last Day for
Kind of Tax Ending Identifying Number Assessment Refihng
(a) (b) (c) (d) (e)
941 06/30/1990 23-2456985 OS/27/1991 06/26/2001
******** ********** ************* ********** ************
Unpaid Balance
of Assessment
(f)
p ~49Z} .12
* * *..*~* * ~* * 1d't * * * *
oil.J
::~~
:;':;;
,
'8
G'
0,
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $
14973.12
This notice was prepared and signed at
Philadelphia, PA
, on this,
the 06th day of February . 2005
Signature
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 1 - RECORDING OFFICE
Form 668 (Z) IRev. 1020001
CAT. NO 600261