HomeMy WebLinkAbout04-4250Notice of Federal Tax Lien
1872
Form 668 (Y)(c)
(Rev. February 2004)
Area: [ Serial Number I
SMALL BUSINESS/SELF EMPLOYED AREA #3
Lien Unit Phone: (800) 829 3903 185857504
As provided by, section 6.321, 6322, and, 6323 o[ the Internal Revenue
a demand for payment of this liability, but it remains unpaid. Therefore,
there is a llen 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.
Department of the Treasury - Internal Revenue Service
For Optional Use by Recording Office
Name of Taxpayer ROBERT G AUGUSTIN
Residence 323 6TH ST
NEW CUMBERLND, PA 17070-1917
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).
Kind of Tax
1040
Tax Period
Ending
identifying Number
168-36-2901
Date of
Assessment
(d)
09/01/200..
Last Day for
Refiling
(e)
10/01/2013
Prothonotary
Cumberland County
Carlisle, PA 17013
Unpaid Balance
of Assessment
(f)
5158.04
Total $ 5158.04
(h)
12/31/2000
Place of Filing
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the 10th day of August 2004
' ACS 23-00-0008
for L LEDER (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)
Part I - Kept By Recording Office Form &68(Y)(c) (Rev. 2-2004)
CAT. NO 60025X
Fonn 668 (Z)
{Rev. 10-2000)
1872
Department of the Treasury - Internal Revenue Service
Certificate of Release of Federal Tax Lien
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 August 25
2004 ,is authorized to note the books to show the release of this lien for
these taxes and additions.
For Use b Recordin Office
1k. /JJf( ~s: C1l
Ck/.:uJC,
;;1... / 5~r ? 5'(
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #3
Lien Unit Phone: (412) 395-5265 185857504
Name of Taxpayer
ROBERT G AUGUSTIN
:",)
,..-,
\,...?
"
(. :.:;j
, :~
Residence323 6TH ST
NEW CUMBERLND, PA 17070-1917
:'.)
C",
COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No. ..
n/a n/a n/a 04-4250 FTL .. <1;.
Tax Period Date of Last D,r; for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilng of Assessment
(a) (b) (e) (d) (e) (f)
1040 12/31/2000 168-36-2901 09/01/2003 10/01/2013 5158.04
******** ********** ************* ********** ************ ****************
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $
5158.04
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the
22nd day of December
2004
Signature
Title Director, Payment Compliance
(NOTE: 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)
Part I . RECORDING OFFICE
Form 668 (Z) IRev. 10-20001
CAT. NO 600261