HomeMy WebLinkAbout05-5890Form 668 (Y)(c)
(Rev. February 2004)
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien )'L OS-- -5 r7-.L
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA 43
Lien Unit Phone: (800) 913-6050 256792905
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.
of Taxpayer PAUL MATTUS
a
Residence 3810 MARKET ST
CAMP HILL, PA 17011-4327
on
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).
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Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilling of Assessment
6721 12/31/2000 25-1778473 09/29/2003 10/29/2013 3600.00
940 12/31/2003 25-1778473 04/05/2004 05/05/2014 171.75
941 03/31/1998 25-1778473 06/29/1998 07/29/2008 2001.81
941 06/30/1998 25-1778473 10/05/1998 11/04/2008 66.74
941 12/31/1998 25-1778473 11/01/1999 12/01/2009 4308.03
941 03/31/1999 25-1778473 08/02/1999 09/01/2009 2978.94
941 06/30/1999 25-1778473 04/10/2000 05/10/2010 6957.78
941 03/31/2000 25-1778473 06/19/2000 07/19/2010 4117.23
941 06/30/2000 25-1778473 01/01/2001 01/31/2011 4105.54
941 06/30/2001 25-1778473 10/01/2001 10/31/2011 5494.54
941 12/31/2001 25-1778473 04/08/2002 05/08/2012 6146.96
941 03/31/2003 25-1778473 06/23/2003 07/23/2013 5831.96
941 09/30/2003 25-1778473 12/22/2003 01/21/2014 5839.60
941 12/31/2003 25-1778473 03/15/2004 04/14/2014 5615.84
941 12/31/2004 25-1778473 03/14/2005 04/13/2015 5620.42
Place of Filing
Prothonotary
Cumberland County Total $ 62857.14
Carlisle, PA 17013
This notice was prepared and signed at PHILADELPHIA PA , on this,
the 31st day of October 2005
Signature Title
Ott-d2xl (? / REVENUE OFFICER 23-06-1450
for JEFFREY WHITE (717) 221-3490 x1300
(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
Ck 1090
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Form 666-8 Department of the Treasury - Internal Revenue Service
(Rev. August 2005) Certlificate of Discharge of Property From Federal Tax Lien
(Section M25(b)(2)(A) of the Infernal Revenue Code)
Paul Mattus Agency Inc Of 3810 Market St, City of Camp Hill, County of Cumberland, State of Pennsylvania, is indebted to the
United States for unpaid internal revenue tax in the sum of One Hundred Seventy Nine Thousand Six Hundred Fifty One and
261100 Dollars ($179,651.26) as evidenced by.
Notice of Federal
Tax Lien
Serial Number
(a)
Recording Information
(b)
Date Recorded
(c)
Taxpayer IderriMicallon Number
(d)
Amount Shown on Lien
(a)
256792905 05-5890 FTL 11/14/2005 25-1778473 $62,857.14
272946906 06-947 02/17/2006 25-1778473 $110,316.41
272947006 06-948 02/17/2006 25-1778473 $618.64
283758906 06-2593 05/05/2006 25-1778473 $13,002.30
A lien attaching to all the property of the taxpayer was filed to secure the amount owed. The notice of lien was filed with the Office
of the Prothonotary, for the County of Cumberland, and also with the XXXXXXXXXXXXXXX, in accordance with the applicable
provisions of law.
The lien listed above is attached to certain property described as:
1. "Book of Business" consisting of client names and the right to do business with said clients as assigned by Allstate
Insurance Company;
2. All miscellaneous equipment, business equipment, supplies, furniture, computers and related software.
Catalog No. 16752N Form 669.8 (Rev. 8-2005)
The Internal Revenue Service acknowledges receipt of Eighty Thousand and 00/100 dollars ($90,000.001, and discharges the
lien against the above descrbed property. However, the Ron rem, sons in effect for all other property, or rights to property, to
which the lien is attached.
Tina Date
?Euge a V. Baldorf Technical Services Advisory Group Manaaer 4 r
(Note: Certificate of offer authorized by law to take ada owledgernents is not essential to the validity of Discharge of
Federal Tax Lien. Rev. Rul. 71-466,1971-2, C.B. 409.)
Catalog No. 16752N c.,,..., Amft-e 'Pi ..t..
(Use this space for continued description of property)