HomeMy WebLinkAbout02-2710Form 668 (Y)(c)
(Rev. October 2000)
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien 0e2_ i 7/0 r. r, A
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #3
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As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (Including interest and penalties) C/c, /gU
have been assessed against the following-named taxpayer. We have made
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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. C)
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Name of Taxpayer RILLOS REST INC , a Corporation
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Residence 50 PINE ST 't
CARLISLE, PA 17013-3136 r'
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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, -
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
941 06/30/2001 23-2370267 01/07/2002 02/06/2012 1120.01
941 09/30/2001 23-2370267 01/07/2002 02/06/2012 1085.25
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total I $
2205.26
This notice was prepared and signed at
the 21st day of May
PITTSBURGH, PA
2002
on this,
foratur Title
REVENUE OFFICER 23-08-1439
(717) 221-3490 x1280
(NOTE: Certificate of officer authorized by law to a acknowledgment is not essential to the validity of Notice of Federal Tax lien
Rev. Rut. 71-466, 1971 - 2 C.B. 409) Form 668(Y)(c) (Rev. 10-00)
Part I - Kept By Recording Office CAT. NO 60025X
Form sf $ Department of the Treasury - Internal Revenue Service
(Rev. 10-1999) Certificate of Release of Federal Ta
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Small Busines
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oyed Area: 2 230289726
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I certify that as to the foiklwi
ng-named taxpayer, the requirements of section 6325 (a) of the
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Internal Revenue Code have been satisfied for the taxes listed below and for all statutory
additions. Therefore, the lien provided by Code section 6321 for these taxes and additions has 3 y 7
been released. The proper officer in the office where the notice of internal revenue tax lien was
filed onJune 4, 2&W, is authorized to note the books to show the release of this lien for these pp
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taxes and additions.
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Nance of Taxpayer ? o
RILLOS REST INC, a Corporation M ::;I
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50 PINE ST .
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CARLISLE, PA 17013-3136
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Kind of Tax Tax Period Ended Identifying Number Dale of Last Day for Unillillild
(a) (b) (c) Assessment Refilling of Assessment
941
06130/2
01 (e) M
0 23-2370267 .01/07/2002 02/06/2012 $1
120
01
941 09/30/2001 23-2370267 01/07/2002 02106,/2012 ,
.
$1,085.25
Place of Filing
Prothonotary Total
Cumberland County
Carlisle, PA 17013
This notice was prepared and signed at Harrisburg, PA, on this, the jA day ofb%Mtemb&r, 2007
.
-77SZ4-
00d M. Shroyer, Employee)
Revenue Officer, Phone # - 717-777-9625
$2,205.26
(NOTE: CerNfmte of officer audwdzed by law to take ade"wle Ments is not essential to the validity of Certificate of Release of Federal Tax Lien Rev. Rul. 71-466,
1971-2 C.B. 409)
Part 1 - Recording Office
Form 668(2) (Rev. lo-1999)
DOCM NO: 02-2710-FIL
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Form 3982 DEPARTMENT OF THE TREASURY - INTERNAL REVENUE SERVICE
(REV. OCT. 2003) NLUNG SUPPORT FOR UEN AND CERTIFICATE FEES
Area Office Serval No. , Recording Fee
Area:2 230289726
Instructions
The recording office is to attach to its bill covering fees for Enter Release Fee
liens and related certificates one copy of this form for each ; Amount $
recording or release fee. ; Claimed
Type of document (Check one) Lien Certificate
NAME OF TAXPAYER
RILLOS REST INC, a Corporation
RESIDENCE OR PLACE OF BUSINESS
50 PINE ST CARLISLE, PA 17013-3136
LIEN RECORDING NUMBER: 02-271OFTL
Form 668 (Z) 6152 Department of the Treasury - Internal Revenue Service
(Rev. 10-2000) Certificate of Release of Federal Tax Lien
Area: Serial Number For Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
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I certify that the following-named taxpayer, under the requirements of section 6325 (a) Ck 7 4 7
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 s,
additions has been released. The proper officer in the office where the notice of
internal revenue tax lien was filed on June 04
2002 , is authorized to note the books to show the release of this lien for
these taxes and additions. C 1 r
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Name of Taxpayer - J
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RILLOS REST INC a Corporation c
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Residence 50 PINE ST
CARLISLE, PA 17013-3136 -? 1
COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No.
n/a n/a n/a 02-271OFTL
Tax Period Date of Last Darr for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (fI
941 06/30/2001 23-2370267 01/07/2002 02/06/2012 1120.01
941 09/30/2001 23-2370267 01/07/2002 02/06/2012 1085.25
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 2205.26
This notice was prepared and signed at
the 19th day of September
Signature
Philadelphia, PA
, on this,
2007
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