HomeMy WebLinkAbout06-25931C/L
Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien
(Rev. February 2004) , Q (,- a 5'9-3 F T-1--
Serial Number For Optional Use by Recording Office
Area:
SMALL BUSINESS/SELF EMPLOYED AREA 42 n? P?? a 1Y.W
Y'
Lien Unit Phone: (800) 913-6050 283758906
As provided by section 6321, 6322, and 6323 of the Internal Revenue C), 1- 7 ? 6
Code, we are giving a notice that taxes (including interest and penalties)
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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.
Name of Taxpayer PAUL MATTUS AGENCY INC , a Corporation
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Residence 3810 MARKET ST
CAMP HILL, PA 17011-4345 ?
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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, L'
on the day following such date, operate as a certificate of release as defined
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in IRC 6325(a). '? "
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Tax Period Date of Last Day for UnpaiAalatTEe
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b c) d) e f)
941 09/30/2005 25-1778473 01/30/2006 02/29/2016 7114.21
941 12/31/2005 25-1778473 03/06/2006 04/05/2016 5888.09
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
This notice was prepared and signed at
the 11th day of April
DETROIT, MI
Total 1 $
13002.30
2006
, on this,
Signature A I Vt'tL- a Title
REVENUE OFFICER 22-06-1450
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 I ex 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 138li~B Dep (tent d the Treasury - Intemal Revenue service
(Rev. August 2DD5) Cerdfieate of Discharge of Property From Federal Tax Lien
(Section 6X 51b)(2M of the internal Rinw ue 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.
No** d Federal
Tax Lion
serial Number
(a)
Record ft lr*xmetbn
lb)
Date Recorded
(c)
Taxpayer Ident on Number
(d)
Amount Shown on Uen
(e)
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 06-26M 05/0512006 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 Qffiga
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.
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Catalog No. 16752N Form 8N-B (Rev. 8-2005)
The Internal Revenue price accrK6,11I sI receipt of Thouond aW,,,,O I00 clods ($60,M.001, and the
lien agak* the sons dsscrftd property. Hqwow* the lien romeft In alisat for all other property, or rWft to property, to
which the Hen is attached.
+'f E e V. Techn" Servkm AdviWv G[vU:Mr I 'AMS 4 7
(Note: Cert a of of k*r autttoria by w to tolki is
Federal Tax Lion. Rev. Rul. 71-466,1971,:2, C.S. 409.)
ie r 4 4i"l to the VaNay of DWdW -e
Catalog No. 16752N Form OMB (Rev. 8-20M)
(Use this space for contmwd description of property)