HomeMy WebLinkAbout12-3103 4804
Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c)
Notice of Federal Tax Lien
(Rev. February 2004)
Area: Serial Number For Optional Use by Recording Office
D #2
F
3
en?, 3103 FTL
/
1-
Unit Phone: (800)
91
-6050
Li 865925112 0
.
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including interest and penalties) r- ` y
have been assessed against the following-named taxpayer. We have made a P? -- ,
a demand for payment of this liability, but it remains unpaid. Therefore, rn?
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 RUBBER SHEET ROLL LLC
PETER M STAGGS SOLE MBR `r-
Residence PO BOX 171
SHIPPENSBURG, PA 17257-0171
IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice of the lien is refilled by the date given in column (e), this notice shall,
d
fi
d
f
l
a(? F-T
PD
e
ne
re
ease as
on the day following such date, operate as a certificate o
in IRC 6325(a). Q,* oZ753?]
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilling of Assessment
(a) (b) (c) (d) (e) (f)
941 03/31/2010 27-1578016 11/28/2011 12/28/2021 12827.57
941 06/30/2010 27-1578016 11/28/2011 12/28/2021 11700.28
941 09/30/2010 27-1578016 11/28/2011 12/28/2021 7684.22
941 12/31/2010 27-1578016 11/28/2011 12/28/2021 130.77
941 06/30/2011 27-1578016 11/28/2011 12/28/2021 21335.84
941 09/30/2011 27-1578016 01/02/2012 02/01/2022 30137.56
941 12/31/2011 27-1578016 04/16/2012 05/16/2022 3289.29
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 87105.53
This notice was prepared and signed at DETROIT, MI
the 04th day of May 2012
, on this,
Signature Title
?\C-4s-r- REVENUE OFFICER 22-06-1408
for MIGNA RODRIGUEZ (717) 777-9622
(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 668(Y)(c) (Rev. 2-2004)
Part 1 - Kept By Recording Office CAT. NO 60025X
Form 668 (Z)
(Rev. 10 -2000)
11883 Department of the Treasury - Internal Revenue Service
Certificate of Release of Federal Tax Lien
Area:
SMALL BUSINESS /SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913 -6050
Serial Number
865925112
For Use by Recording Office
rILEO-Of
•.' PROTHONOliVc:).
2014 MAR 10 M1 U: Vi
1■ • fl
CUMBERLAND COUNTY v
PENNSYLVANIA
k
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 May 17
2012
, is authorized to note
the books to show the release of this lien for
these taxes and
additions.
Name of Taxpayer
RUBBER SHEET ROLL LLC
PETER M STAGGS SOLE MBR
Residence PO BOX 171
SHIPPENSBURG, PA. 17257-0171
COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No.
n/a n/a n/a 12 -3103
Tax Period
Date of
Last Day for
Unpaid Balance
Kind of Tax
Ending
Identifying Number
Assessment
Refiling
of Assessment
(a)
(b)
(c)
(d)
(e)
(f)
941
03/31/2010
27- 1578016
11/28/2011
12/28/2021
12827.57
941
06/30/2010
27- 1578016
11/28/2011
12/28/2021
11700.28
941
09/30/2010
27- 1578016
11/28/2011
12/28/2021
7684.22
941
12/31/2010
27- 1578016
11/28/2011
12/28/2021
130.77
941
06/30/2011
27- 1578016
11/28/2011
12/28/2021
21335.84
941
09/30/2011
27- 1578016
01/02/2012
02/01/2022
30137.56
941
12/31/2011
27- 1578016
04/16/2012
05/16/2022
3289.29
*******************************************
* *
* * * * * * * * * * * **
* *
* * * * * * * * * * * * **
Place of Filing
Prothonotary
Cumberland County Total
$
87105.53
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI , on this,
the 26th day of February ,'2014.
Signature
Title
Operations Manager,
Centralized Case Processing -Lien Unit
(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. 71 -466, 1971 - 2 C.B. 409) Form 668 (Z) (Rev. 10-2000)
Part 1 - RECORDING OFFICE
CAT. NO 600261