HomeMy WebLinkAbout97-02469Form 668 (Y) (c) • i I Depa-talent of the Treasury • Internal Revenue Servfoo I, if
(Re
v. October 1993) Notice of Federal Tax Lien
Fli-I F16771-77=11
Serial Number I" Fer OO(ionaluS.hv Rn n.db
Int rest Internal Rev enue
Code, we are giving 1a notice that taxes (including of
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.
u of I axpayer ,i ; L I : ,id :,[,;( I I U! I,
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=R6W,3 ELEASE INFORMATION: For each assessment listed below, ii r ?ti.(r1
lien Is refiled by the date given in column (e), this notice shall,
wing such date, operate as a certificate of release as defined I+17rr11
ref ') I I V `1
Tax Period Date of Last Da for
Kind of Tax Ended Identifying Number Assessment Refllln Unpaid Balance
(a) (b) (c) (d) (e) 9 of Assessment
(/)
O
This notice was prepared and signed at
the ' day of , 19
Signature
`I 1 c?'I Cv? f' TL ,r
- i
, on this,
I file
(NOTE: Ceft'licate of of6cor aulhorizod Lil fah to tare a;..n_n:rd?-•,urls ossen: al to Ito .a d,ly 0 Notice of Federal Tax lien
Rw, Rul• 71466, 1971 • 2 C.S. 409)
Part 1 - Kept By Recording Office Form 668 (Y) (c) (Rev. 1 0,9'
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
Lien Unit Phone: (800) 913-6050 239724273 led. rsF W
1 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 a 0 -7 15 a
additions has been released. The proper officer in the office where the notice of
internal revenue tax lien was filed on May 09 '
1997
is authorized to note the books to show the release of this lien for t G
= z
these taxes and additions.
Name of Taxpayer
WILLIAM BLANCHARD I -
- c
Residence 741 W. CHOCOLATE AVENUE
HERSHEY, PA 17033
, c
COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No.
?
n/a n/a n/a 97-2469FTL ?
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
1040 12/31/1984 XXX-XX-3929 07/27/1987 08/26/1997 858.89
1040 12/31/1986 XXX-XX-3929 05/25/1987 06/24/1997 1603.30
******** ********** ************* ********** ************ ****************
Place of Filing
Total 1$ 2462.19
Prothonotary
Cumberland County
Carlisle, PA 17013
This notice was prepared and signed at Philadelphia, PA
the 23rd day of March , 2 0 0 8
Signature
, 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 A009R1