HomeMy WebLinkAbout02-5098 4yy
Department of the Treasury -Internal Revenue Service
Form 668 M(c) Notice of Federal Tax Lien
-
(Rev. October 2000) U9 b FTL
74,0. U?- 5
Serial Number For Optional Use by Recording Office
Area:
WAGE & INVESTMENT AREA #2 230296091 'jqt ?? 'V /`f w
Lien Unit Phone: (800) 829-7650
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 136P07
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 BLAKE E JACKSON & TRACY R WILDMAN C) cn 10
C rv n
r 1l
Residence 36 S 24TH ST Gr -'L
G)..(.
CAMP HILL, PA 17011-4608
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 Dayy for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refling of Assessment
a) (b) (c) (d) (e f)
1040 12/31/1996 186-64-9310 03/18/2002 04/17/2012 1288.68
1040 12/31/1997 186-64-9310 03/18/2002 04/17/2012 3324.44
1040 12/31/1998 186-64-9310 03/11/2002 04/10/2012 545.31
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $
This notice was prepared and signed at
the 10th day of October
PITTSBURGH, PA
5158.43
2002
on this,
Signature / Title
ACS 12-00-0000
f i
www (800) 829-7650
(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
6152 Department of the Treasury - Internal Revenue Service
Form 668 (Z)
(Rev. 10-2000) Certificate of Release of Federal Tax Lien
Area: Serial Number For Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
??
/?
(Jl)
Lien Unit Phone: (800) 913-6050 230296091 •
I certify that the following-named taxpayer, under the requirements of section 6325 (a) Ck 11Sa 9
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 zoo 91Ce
additions has been released. The proper officer in the office where the notice of la--'
internal revenue tax lien was filed on October 21
2002 , is authorized to note the books to show the release of this lien for
h ev
these taxes and additions. ?
Name of Taxpayer fit,
rr1r-
_
c= C_ -4
BLAKE E JACKSON & TRACY R WILDMAN
CM 0
_
Residence36 S 24TH ST Y
-0
CAMP HILL, PA 17011-4608 Fv 0
COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No. /
n/a n/a n/a 02-5098 FTL ?
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilling of Assessment
(al (b) (C) (d) (e) (f)
1040 12/31/1996 XXX-XX-9310 03/18/2002 04/17/2012 1288.68
1040 12/31/1997 XXX-XX-9310 03/18/2002 04/17/2012 3324.44
1040 12/31/1998 XXX-XX-9310 03/11/2002 04/10/2012 545.31
******** ********** ************* ********** ************ ****************
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 5158.43
This notice was prepared and signed at
the 28th day of May
Signature
Philadelphia, PA
2008
, 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