HomeMy WebLinkAbout02-12182879
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
Fonn 668 (Y)(c)
(Rev. October 2000)
Area:
SMALL BUSINESS/SELF EMPLOYED AREA #3
Lien Unit Phone: (412) 395-5265
230285462
Serial Number
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 Jt remains unpaM. Therefore,
there is a lien in favor of the United States on all property and rights to
property belonging co this taxpayer for the amount of these taxes, and
additional penalties, interest, and cos*s that may accrue.
Name of Taxpayer RONALD BLYSTONE
Residence 1438 BRIDGE STREET
NEW CUMBERLAND, PA 17070-1117
For Optional Use by Recording Office
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
(a)
1040
1040
1040
Place of Filing
Tax Period
Ending
(b)
12/31/1993
12/31/1997
12/31/1997
Identifying Number
(c)
180-34-9956
180-34-9956
180-34-9956
Prothonotary
Cumberland County
Carlisle, PA 17013
Date of
Assessment
(d)
11/28/1994
06/11/1998
12/27/1999
Last Day for
Refiling
(e)
12/28/2004
07/11/2008
01/26/2010
Unpaid Balance
of Assessment
Total
(~
17086.77
10199.46
2118.00
29404 .23
This notice was prepared and signed at
PITTSBURGH, PA
, on this,
the 27th day of February , 2002
for CARLO GON~'L~ // SPF(215)ADVISOR861_1931 23-97-6921
(NO~,: 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. 10-00)
Parr ! - Kept By Recording Office
CAT. NO 60025X
FORM 669-C
(Rev. February 1992)
DEPARTMENT' OF THE TREASURY - INTERNAL REVENUE SERVICE
CERTIFICATE OF DISCHARGE OF PROPERTY FROM FEDERAL TAX LIEN
(Sec. 6325(b)(2)(B) of the Internal Revenue Code)
WHEREAS, Ronald Bl~,stone
Of 1438 Bridge Street
County of
Cumberland
, City of
, State of
New Cumberland
Pennsylvania
is indebted to the United States for unpaid internal revenue tax in the sum of Twenty Nine
Hundred Four & 23-Cents Dollars($ 29,404- 23
Thousand Four
as evidenced by:
NOTICE OF FEDERAL
TAX LIEN RECORDING DATE TAXPAYER IDENTIFICATION AMOUNT SHOWN
SERIAL NUMBER INFORMATION RECORDED NUMBER ON LIEN
(a) (b) (c) (d) (e)
230285462 02-1218-FTL 03/12/02 180-34-9956 $29 f 404- 23
WHEREAS, to secure the collection of said tax, notice of the lien of the United States, .attaching to all the
property and rights to property of the said taxpayer on account of said tax indebtedness, was filed with the
Office of the Prothonotary forthe
County of Cumberland , and also with the XXXXXXZXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX , in accordance with the applicable provisions of law.
WHEREAS, the lien of the United States, listed above, for said tax has attached to certain property described as:
See attached description signed and dated by authorized delegate.
Pennsylvania Liquor License# R-265
Catalog No. 16753Y Form 669-C (Rev. 2-92)
(Use this space for continued descrfptioh of property)
WHEREAS, the District Director of Intemal Revenue has determined that the interest of the United States in the
foregoing property, under and by virtue of its aforesaid tax lien, is now valueless;
NOW, THEREFORE, THIS INSTRUMENT WITNESSETH, That I, B..F. Rogers ,
District Director of Internal Revenue at Pennsylvania , charged by law with
the duty of collecting and enforcing the collection of internal revenue taxes due the United States, and charged with the
assessment hereinbefore stated, do, pursuant to the provisions of section 6325(b)(2)(B), of the Internal Revenue Code
discharge the property heretofore described from the aforesaid tax lien, saving and reserving, however, the force and
effect of said tax lien against and upon all other property or rights to property to which said lien is attached, wheresoever
situated.
WITNESS my hand at Dhiladelphia ,? DA
the '~ '~(~-~
day of OcLober , ~i2002
, on this,
Charles W. Dinan r Jr. ~/ Technical Su~ort Group Manager
(NOTE: Certificate of officer authorized by law to take acknowledgments is not essential to the validity of Discharge of
Federal Tax Lien. Rev. Rul. 71-466, 1971-2, C.B. 409.)
FORM 669-C (Rev. 2-92)
* U,S, Government Pdnting Office: 1992 - 312-711/50886