HomeMy WebLinkAbout02-5101
-
2941
Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien
(Rev. October 2000) fLa. 0'<' - 5'/01 Frl.-
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA PeL R1( t 1'f.uD
Lien Unit Phone: (412) 395-5265 230295759
As provided by section 6321, 6322, and 6323 of the Internal Revenue "--
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Code, we are giving a notice that taxes (including Interest and penalties) fL,
have been assessed against the following-named taxpayer. We have made 13M"!'
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 (") C)
property belonging to this taxpayer for the amount of these taxes, and ;_J
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additional penalties, Interest, and costs that may accrue. -ol'<' =>
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Name of Taxpayer GEORGE D & SUSAN D PALMER ~~7~: -.,
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Residence 4905 SUGAR SHACK LN ~~~ --,-;~
MECHANICSBURG, PA 17050-3612 N .:1
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, (Jl -.
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 Da.r. for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Ref! mg of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/1992 008-42-2890 09/20/1993 10/20/2003 5453.75
1040 12/31/1993 008-42-2890 06/13/1994 07/13/2004 1756.42
1040 12/31/1994 008-42-2890 06/12/1995 07/12/2005 3449.49
Place of Filing
Prothonotary Total $
Cumberland County 10659.66
Carlisle, PA 17013
This notice was prepared and signed at
PITTSBURGH, PA
, on this,
the
25th day of
September 2002
,
(NOTE: Certific Icer authorized by law
Rev. Rul. 71-466,1971 - 2 C.B. 409)
Title
ACS
(800) 829-7650
12-00-0000
fo
ake acknowledgment is not essential to the validity of Notice of Federal Tax lien
Part 1 ~ Kept By Recording Office
Form 668(Y)(c) IRev. 10.001
CA T. NO 60025X
For Use by Recordina Office
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Form 668 (Z)
(Rev. 10-2000)
11799
Department of the Treasury - Internal Revenue Service
Certificate of Release of Federal Tax Lien
Area:
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (SOO) 913-6050
Serial Number
230295759
I certify that the following-named taxpayer, under the requirements of section 6325 (a)
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
additions has been released. The proper officer in the office where the notice of
internal revenue tax lien was filed on October 21
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
GEORGE D & SUSAN D PALMER
Residence 4 905 SUGAR SHACK LN
MECHANICSBURG, PA 17050-3612
COURT
Liber Page UCC No.
n/a n/a n/a
Tax: Period
Kind of Tax: Ending Identifying Number
(a) (b) (e)
1040 12/31/1992 008-42-2890
1040 12/31/1993 008-42-2890
1040 12/31/1994 008-42-2890
*******************~*************
RECORDING INFORMATION:
Serial No.
02-5101-FTL /
Date of Last Day for
Assessment Refiling
(d) (9)
09/20/1993 10/20/2003
06/13/1994 07/13/2004
06/12/1995 07/12/2005
***********************
Unpaid Balance
of Assessment
(f)
5453.75
1756.42
3449.49
****************
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $
This notice was prepared and signed at
Philadelphia, PA
the
16th day of January
2007
Signature
Title Direct<;>r, Campus Compliance
Operatlons
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10659.66
, on this,
(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. Ru!' 71-466, 1971 - 2 C.B. 409)
Part 1 . RECORDING OFFICE
Form 668 (Z) (Rev. 10-2000)
CAT. NO 600261