HomeMy WebLinkAbout07-3522Form 668 (Y)(c)
(Rev. February 2004)
7119
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien o -3 ?;Z r rL
Area: Serial Number For Optional Use by Recording Office
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (Soo) 829-7650
369679307
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As provided by section 6321, 6322, and 6323 of the Internal Revenue ?o y5
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made r q ?n,
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. o
Name of Taxpayer WILLIAM A CORNELL c n?"n
Residence 222 S FRONT ST
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WORMLEYSBURG, PA 17043-1336 r-
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NT RELEASE INFORMATION: For each assessment listed below,
of the lien is refiled by the date given in column (e), this notice shall,
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following such date, operate as a certificate of release as defined
(a).
IRC
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refili ng of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2003 XXX-XX-3041 05/24/2004 06/23/2014 1056.16
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ($ 1056.16
This notice was prepared and signed at DETROIT, MI
, on this,
the 07th day of June 2007
Signature A ACS 11-00-0000
for DEBRA K. HURST (800) 829-7650
(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 Form 666(ln(c) (Rev. 2-2004)
CAT. NO 60025X
3351 Department of the Treasury - Internal Revenue Service
Form 668 (Z) Certificate of Release of Federal Tax Lien
(Rev. 10-2000) Area: Serial Number For Use b Recording Office
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (800) 913-6050 369679307
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
additions has been released. The proper officer in the office where the notice of
internal revenue tax lien was filed on June 15
2007 , is authorized to note the books to show the release of this lien for
these taxes and additions.
Name of Taxpayer
WILLIAM A CORNELL
Residence222 S FRONT ST
WORMLEYSBURG, PA 17043-1336
COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No.
n/a n/a n/a 07-3522 FTL
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment mmung of Assessment
a b NJ - d (0) M
1040 12/31/2003 I
XXX-XX-3041 -
05/24 2004 06/23/2014 1056.16
INTE NAL REVENQ kf l
W I - FIELD ASSISTANCE
H RRISBIIRG, 04 17108
JAN 11 2008
RECEIVED
17404
Place of Filing
Prothonotary
Cumberland County
Carlisle. PA 17013
Total 1$ 1056.16
This notice was prepared and signed at
the 11th day of January
DETROIT, MI
2008
, on this,
Signature A \ty ? I 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 600261
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