HomeMy WebLinkAbout07-0333Form 668 (Y)(c)
(Rev. February 2004)
179
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien -,. -7 _ :R,:? r n
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050
337692207 ?1 a ?V ?a
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As provided by section 6321, 6322, and 6323 of the Internal Revenue C,h, /CMG ?-?
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made r d'b 3
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 SCOTT A LAKE
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Residence 142 15TH ST APT G --' =?
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NEW CUMB ERLND , PA 17070-1178 -- `--
IMPORTANT RELEASE INFORMATION: For each assessment listed below rv'-r'
,
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 Refiling of Assessment
(a (b) (c) (d) (e) (f)
6721 12/31/2002 23-3002899 12/20/2004 01/19/2015 4300.00
941 09/30/2005 23-3002899 09/18/2006 10/18/2016 11155.95
941 12/31/2005 23-3002899 11/27/2006 12/27/2016 11943.94
941 03/31/2006 23-3002899 09/18/2006 10/18/2016 4923.45
941 06/30/2006 23-3002899 08/28/2006 09/27/2016 9802.84
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 42126.18
This notice was prepared and signed at
the 08th day of January
Signature
for M.
Title
REVENUE OFFICER
(609) 278-7767
22-03-4927
DETROIT, MI
2007
, on this,
(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. 2-2004)
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
A Serial Number ing Office
For Use by Recor
rea: -
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 337692207
1 certify that the following-named taxpayer, under the requirements of section 6325 (a) ? t
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of the Internal Revenue Code has satisfied the taxes listed below and all statutory ?
.
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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
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internal revenue tax lien was filed on January 18
2007 , is authorized to note the books to show the release of this lien for
these taxes and additions. f 7'a 7 T 7
Name of Taxpayer
SCOTT A LAKE
Residence142 15TH ST APT G
NEW CUMBERLND, PA 17070-1178
COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No.
n/a n/a n/a 07333FTL
Tax Period Date of Last Darr for Unpaid Bat11111ce
Kind of Tax Ending Identifying Number Assessment Rellft of Assessment
(a) (b) (c) (d) (a) M
6721 12/31/2002 23-3002899 12/20/2004 01/19/2015 4300.00
941 09/30/2005 23-3002899 09/18/2006 10/18/2016 11155.95
941 12/31/2005 23-3002899 11/27/2006 12/27/2016 11943.94
941 03/31/2006 23-3002899 09/18/2006 10/18/2016 4923.45
941 06/30/2006 23-3002899 08/28/2006 09/27/2016 9802.84
? ? r
+d
r
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 42126.18
This notice was prepared and signed at
the 29th day of August , 2007
Signature
, on this,
Title Director, Campus Compliance
Operations
DETROIT, MI
(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