HomeMy WebLinkAbout02-3643
499
Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien
(Rev. October 2000) "J1.b 0.2 . ,3 (, <'<,3 F=T1-
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #3 fd. fJ~ 'j'l.w
Lien Unit Phone: (412) 395-5265 230292463
As provided by section 6321, 6322, and 6323 of the Internal Revenue c.k..J :U'
Code, we are giving a notice that taxes (including interest and penalties) f2,.v. p 1 Ff.r
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 ail property and rights to
property belonging to this taxpayer for the amount of these taxes, and 0 i)
additional penalties, interest, and costs that may accrue. ?Z~ I
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Name of Taxpayer JACOB RICHCREEK ,'j j'-:
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Residence 6035 BLUE MOUNTAIN TRL .-'::)
ENOLA, PA 17025-1108 .,...
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, ...) -
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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 IRe 6325(a),
Tax Period Date of Last Dad'; for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Reft ng of Assessment
(a) (b) (c) (d) (e) (f)
940 12/31/2001 23-2164018 04/08/2002 05/08/2012 344.76
941 06/30/2000 23-2164018 11/27/2000 12/27/2010 5723.70
941 09/30/2000 23-2164018 08/06/2001 09/05/2011 2807.27
941 12/31/2000 23-2164018 03/26/2001 04/25/2011 6377.84
941 03/31/2001 23-2164018 07/30/2001 08/29/2011 15182.91
941 06/30/2001 23-2164018 09/03/2001 10/03/2011 4900.89
941 09/30/2001 23-2164018 01/07/2002 02/06/2012 3694.25
941 12/31/2001 23-2164018 04/08/2002 05/08/2012 574.65
Place of Filing
Prothonotary Total $
Cumberland County 39606.27
Carlisle, PA 17013
This notice was prepared and signed at
PITTSBURGH, PA
, on this,
the
17th day of July
2002
(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)
Title
REVENUE OFFICER
(717) 221-3490 x1310
23-08-1441
Signature (/ y." i j/ t..JZ--/"-
'--L/'4"..-1>(- ~<-P~,
for DENNIS P. ZMOUZIN
Part 1 - Kept By Recording Office
Form 668(Y)(c) IRev. 10,001
CA T. NO 60025X
--*-- 1872 Department of the Treasury - Internal Revenue Service
Form 668 (Z) Certificate of Release of Federal Tax Lien
(Rev_ 10-2000)
Area: Serial Number For Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #3 I~ /} 1'/ r 5' uS
Lien Unit Phone: (800) 913-6050 230292463
I certify that the following-named taxpayer, under the requirements of section 6325 (a) Ckl/{)1
of the Internal Revenue Code has satisfied the taxes listed below and aU statutory , krllll
Ju..-.
additions. Therefore, the lien provided by Code section 6321 for these taxes and
additions has been released. The proper officer in the office where the notice of
internal revenue tax lien was filed on July 30
2002 , is authorized to note the books to show the release of this lien for
these taxes and additions. .-'.,
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Name of Taxpayer ....,
JACOB RICHCREEK ----. " ..
I
--
Residence 6035 BLUE MOUNTAIN TRL ~-,-,-
,.. ~
ENOLA, PA 17025-1108 -
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. .
COURT RECORDING INFORMATION: .-.- -
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Liber Page UCC No. Serial No.
n/a n/a n/a 02-3643 FTL
Tax Period Date of Last D'f. for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refi 109 of Assessment
(a) (b) (c) (d) (a) (f)
940 12/31/2001 23-2164018 04/08/2002 05/08/2012 344,76
941 06/30/2000 23-2164018 11/27/2000 12/27/2010 5723.70
941 09/30/2000 23-2164018 08/06/2001 09/05/2011 2807.27
941 12/31/2000 23-2164018 03/26/2001 04/25/2011 6377.84
941 03/31/2001 23-2164018 07/30/2001 08/29/2011 15182.91
941 06/30/2001 23-2164018 09/03/2001 10/03/2011 4900,89
941 09/30/2001 23-2164018 01/07/2002 02/06/2012 3694.25
941 12/31/2001 23-2164018 04/08/2002 05/08/2012 574.65
******** ***********' ************* **********i ************ ****************
Place of Filing
Prothonotary
Cumberland County Total $ 39606,27
Carlisle, PA 17013
, on this,
This notice was prepared and signed at
Philadelphia, PA
25th day of May
2005
the
Signature
Title Director, Payment Compliance
(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. Ruf. 71-466,1971 _ 2 C.B. 409)
Part 1 .. RECORDING OFFICE
Form 668 (Z) (Rev. 10,2000)
CAT. NO 600261