HomeMy WebLinkAbout06-0947Form 668 (Y)(c)
(Rev. February 2004)
1872
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
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Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2 1
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Lien Unit Phone: (800) 913-6050 272946906 -
As provided by section 6321, 6322, and 6323 of the Internal Revenue C,k_ y J 3
we are giving a notice that taxes (including interest and penalties)
Code
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have been assessed against the following-named taxpayer. We have made /CE ? 7 j s f
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 PAUL MATTUS AGENCY INC , a Corporation -(
Residence 3810 MARKET ST
CAMP HILL, PA 17011-4345 --
IMPORTANT RELEASE INFORMATION: For each assessment listed below, Ar
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).
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)
940 12/31/2000 25-1778473 01/30/2006 02/29/2016 316.50
941 09/30/2000 25-1778473 01/09/2006 02/08/2016 9405.08
941 12/31/2000 25-1778473 01/09/2006 02/08/2016 9231.13
941 03/31/2001 25-1778473 01/09/2006 02/08/2016 9072.34
941 09/30/2001 25-1778473 01/09/2006 02/08/2016 8802.46
941 03/31/2002 25-1778473 11/28/2005 12/28/2015 9487.60
941 06/30/2002 25-1778473 11/28/2005 12/28/2015 5853.07
941 09/30/2002 25-1778473 11/28/2005 12/28/2015 8552.96
941 12/31/2002 25-1778473 11/28/2005 12/28/2015 8382.15
941 06/30/2003 25-1778473 11/28/2005 12/28/2015 8328.92
941 03/31/2004 25-1778473 11/28/2005 12/28/2015 7609.05
941 06/30/2004 25-1778473 11/28/2005 12/28/2015 7461.83
941 09/30/2004 25-1778473 11/28/2005 12/28/2015 7320.64
941 03/31/2005 25-1778473 07/18/2005 08/17/2015 4254.94
941 06/30/2005 25-1778473 10/10/2005 11/09/2015 6237.74
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
This notice was prepared and signed at
DETROIT, MI
Total 1$
110316.41
the 07th day of February 2006
on this,
Signature -IV /t /` Title
for
d / /ixav?/ REVENUE OFFICER 22-06-1450
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
Form 869•B Department d the Treasury - (nWnal Revenue Servioe
(Rev. August 2005) Certificate of Dledharge of Property From Federal Tax Lien
(Sodkn 63255(b)(2)(A) of to IM mel Revenue Code)
Paul Mattus Aaencv 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:
Nofoe of Federal
Tax Lien
Serial Number
(a)
Recce 3np Information
(b)
Date Recorded
(c)
Taxpayer Idendftathn Number
(d)
Amount Shown on Len
(•)
256792905 05-5890 FTL 11/14/2005 25-1778473 $62,857.14
272946906 00-947 02/17/2006 25-1778473 $110,316.41
272947006 06-948 02117/2006 25-1778473 $618.64
283758906 06-2593 0510512006 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 Qft
of the Proth onotary, for the County of Cumberland, and also with the
provisions of law.
in accordance with the applicable
The lien fisted 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.
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Catalog No. 16752N Form OWO (Rev. 8-2005)
(Use this space for continued descriphon of property)
The Internal Revwxmv; Servios acknowiecrigles recW of E ty Thousand and 00/100 dollars ($00,000.001 and disc W9W the
lien against the ante demow props r. He mm, the lien ronmirm4n ~ for all other proloorty, or rights to property, to
which the hen is aft;hed.
,,- ttbe
?+?E a V. Bidcx'f Tqy Groupr
(Note: CeWkM* cif ~ a !W by low to mbei aeknm6allp le is not euw*W to ft of D' of
Federal Tax Lien. Rev. Rul. 71-466,1971-2, C.B. 409.)
Cats" No. 16752N Form SWO (Rev. 8-2005)