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HomeMy WebLinkAbout07-0737Form 668 (Y)(c) (Rev. February 2004) 117 Department of the Treasury - Internal Revenue Service Notice of Federal Tax Lien A„ o -7- 7 3W TL- Area: Serial Number For Optional Use by Recording Office SMALL BUSINESS/SELF EMPLOYED AREA #2 Lien Unit Phone: (800) 913-6050 342229507 As provided by section 6321, 6322, and 6323 of the Internal Revenue C?2 , v N? Code, we are giving a notice that taxes (including interest and penalties) Y p?, 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 JOHN D BUCKWALTER __q U0 RZf f7 ( ? C.J Residence 30 N 5TH ST LEMOYNE, PA 17043-1610 ORTANT RELEASE INFORMATION: For each assessment listed below, - -x' ss notice of the lien is refiled by the date given in column (e), this notice shall, F R` he day following such date, operate as a certificate of release as defined C 6325(a). in Tax Period Date of Last Day for Unpaid Balance Kind of Tax Ending Identifying Number Assessment Refilling of Assessment (a) (b) (c) (d) (e) (f) 941 06/30/2006 23-2218095 10/02/2006 11/01/2016 9607.85 941 09/30/2006 23-2218095 12/25/2006 01/24/2017 7335.20 Place of Filing Prothonotary Cumberland County Carlisle, PA 17013 Total 1$ 16943.05 This notice was prepared and signed at DETROIT, MI the 29th day of January 2007 , on this, Signature A Title REVENUE OFFICER 22-06-1407 for SEAN DUNLEAVY (717) 777-9626 (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) Part 1 • Kept By Recording Office CAT. 668( (Rev. 2 20041 CAT. NO 60025X 6152 Department of the Treasury - Internal Revenue Service Form 666 (Z) (Rev. 10-2000) Certificate of Release of Federal Tau Lien Area: Serial Number For Use by Recording Office SMALL BUSINESS/SELF EMPLOYED AREA #2 0 P, IF ? Lien Unit Phone: (800) 913-6050 342229507 1 `W W I certify that the following-named taxpayer, under the requirements of section 6325 (a) 0 Val 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 n KL. ,2 o?`f9 additions has been released. The proper officer in the office where the notice of internal revenue tax lien was filed on February 07 2007 is authorized to note the books to show the release of this lien for these taxes and additions. ° Name of Taxpayer t_=1 r? -n JOHN D BUCKWALTER r-- 6 73 Q7 ' Residence30 N 5TH ST = ---` c LEMOYNE, PA 17043-1610 ., _ . m COURT RECORDING INFORMATION: Liber Page UCC No. Serial No. n/a n/a n/a 07-737 CIVIL Tax Period Date of Last Day for Unpaid Balance Kind of Tax Ending Identifying Number Assessment Refiling of Assessment (a) (b) (c) (d) (a) (f) 941 06/30/2006 23-2218095 10/02/2006 11/01/2016 9607.85 941 09/30/2006 23-2218095 12/25/2006 01/24/2017 7335.20 Place of Filing Prothonotary Cumberland County Total $ 16943.05 Carlisle, PA 17013 This notice was prepared and signed at DETROIT, MI on this, the 17th day of October 2 0 0 7 Signature A 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 I - RECORDING OFFICE CAT. NO 600261