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HomeMy WebLinkAbout02-2098Form 668 (Y)(c) (Rev. October 2000) Department of the Treasury - Internal Revenue Service Notice of Federal Tax Lien Area: Serial Number For Optional Use by Recording Office SMALL BUSINESS/SELF EMPLOYED AREA #3 Lien Unit Phone: (800) 829-3903 230288148 X,. Oa' -109Y F7 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 n _ additional penalties, interest, and costs that may accrue. c-- Name of Taxpayer GEORGE A MONTEMAYOR ?irT Residence 1008 CHIPPENHAM RD c _ MECHANICSBURG, PA 17055-7687 IMPORTANT RELEASE INFORMATION: For each assessment listed below, K 7 ( D unless notice of the lien is refiled by the date given in column (e), this notic ' . g. G>) on the day following such date, operate as a certificate of release as in IRC 6325(al. iz ya s;7 Tax Period Date of Last D for Unpaid Balance Kind of Tax Ending Identifying Number Assessment Refifing of Assessment a b (c d e f) 6672 06/30/1998 187-52-0008 03/29/1999 04/28/2009 30874.76 6672 09/30/1998 187-52-0008 11/15/1999 12/15/2009 9719.95 Place of Filing Prothonotary Cumberland County Carlisle, PA 17013 This notice was prepared and signed at the 17th day of April PITTSBURGH, PA Total 1 $ 40594.71 2002 , on this, Slgnat e « Title ACS 23-00-0008 for L LEDER (800) 829-3903 (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. 10-00) Part 1 - Kept By Recording Office CAT. NO 60025X Form 668 (Z) (Rev. 10-2000) 4660 Department of the Treasury - Internal Revenue Service Certificate of Release of Federal Tax Lien A Serial Number For Use b Recording Office rea: SMALL BUSINESS/SELF EMPLOYED AREA #2 Ad- Lien Unit Phone: (800) 913-6050 230288148 1 certify that the following-named taxpayer, under the requirements of section 6325 (a) ck- 0-0 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 ke, > a 0 additions has been released. The proper officer in the office where the notice of o internal revenue tax lien was filed on April 30 C ?r 2002 , is authorized to note the books to show the release of this lien for 7" i -'r these taxes and additions. i m 1 Name of Taxpayer Kra . , r7 r , GEORGE A MONTEMAYOR . Residence 1008 CHIPPENHAM RD MECHANICSBURG, PA 17055-7687 COURT RECORDING INFORMATION: Liber Page UCC No. Serial No. n/a n/a n/a 02-2098 FTL d 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 6672 06/30/1998 XXX-XX-0008 03/29/1999 04/28/2009 3 0874.76 6672 09/30/1998 XXX-XX-0008 11/15/1999 12/15/2009 9719.95 ******** ********** ************* ********** ************ **************** Place of Filing Prothonotary Cumberland County Carlisle, PA 17013 Total 1$ 40594.71 This notice was prepared and signed at Philadelphia, PA the 28th day of January-, 2 0 0 9 Signature , on this, Title Director, Campus Compliance Operations (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