HomeMy WebLinkAbout07-0578
11799
Form 668 (Y)(C)
(Rev. Februarv 2004)
Notice of Federal Tax Lien
Department of the Treasury - Internal Revenue Service
D'7-.61'i Pz'rl-
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 340502007
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are aMng a notice that taxes (including interest and penalties)
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 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 EDWIN M & JUDITH N JACKSON
Residence
1400 BENT CREEK BLVD APT 118
MECHANICSBURG, PA 17050
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).
Kind of Tax
(a)
1040
1040
Tax Period
Ending
(b)
12/31/2003
12/31/2004
Date of
Assessment
Cd)
12/05/2005
10/17/2005
Identifying Number
(c)
XXX-XX-9178
XXX-XX-9178
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
This notice was prepared and signed at
DETROIT, MI
the
18 th day of January
2007
Signature
Title
ACS
(800) 829-7650
for DEBRA K. HURST
For Optional Use by Recording Office
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Last Day for
Refillng
(e)
01/04/2016
11/16/2015
Unpaid Balance
of Assessment
(f)
17874.92
4564.82
22439.74
, on this,
11-00-0000
Pan 1 - Kept By Recording OffIce
(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,8, 409)
Total $
Form 668(Y)(c) (Rev, 2-2004)
CAT, NO 60025X
Form 668 (Z)
(Rev. 10-2000)
11883 Department of the Treasury - Internal Revenue Service
•
Certificate of Release of Federal Tax Lien
Area:
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050
Serial Number
340502007
For Use by Recording Office
c ;LLL—Lir r i..t_
THE pROT`ik 0 It i Y
2U 14 AUG 25 Atli 1: 31
CUMBERLAND COUNT'
PENNSYLVANIA 1� o
I certify that the
of the Internal
additions. Therefore,
additions has
internal revenue
2007
following-named taxpayer,
Revenue Code has
the lien provided
been released. The
tax lien was filed
, is authorized to note
additions.
under the requirements of section 6325 (a)
satisfied the taxes listed below and all statutory
by Code section 6321 for these taxes and
proper officer in the office where the notice of
on January 30
the books to show the release of this lien for
these taxes and
Name of Taxpayer
EDWIN M & JUDITH N JACKSON
Residence 1400 BENT CREEK BLVD APT 118
MECHANICSBURG, PA 17050
COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No.
n/a n/a n/a 07-578
Kind of Tax
(a)
Tax Period
Ending
(b)
Identifying Number
(c)
Date of
Assessment
(d)
Last Day for
Refiling
(e)
Unpaid Balance
of Assessment
(f)
1040
1040
*********************************w****************************************
12/31/2003
12/31/2004
XXX-XX-9178
XXX-XX-9178
12/05/2005
10/17/2005
01/04/2016
11/16/2015
17874.92
4564.82
Place of Filing
Prothonotary
Cumberland County Total
Carlisle, PA 17013
$ 22439.74
This notice was prepared and signed at DETROIT, MI , on this,
the
13th day of August 2014
Signature
Title
Operations Manager,
Centralized Case Processing -Lien Unit
(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