HomeMy WebLinkAbout03-4000Form 668 (Y)(c)
(Rev. October 2000)
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #3
Lien Unit Phone: (soo) 829-3903 127224003
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are f~k, ing a notice that Uxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made
a demand for p~yment of this liability, hut it remains unpaM. Therefore,
there is a lien Jn faVOr of the United States on all property and rights to
proper~y helon~ng tn this taxpayer for the amount of these taxes, and
additional penalties, interest, and cos, that may accrue.
Name of Taxpayer THOMAS J & MIRIAM R MARTIN
Residence
1008
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
For Optional Use by Recording Office
8917 ROWE RUN RD
SHIPPENSBURG, PA 17257-9339
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).
~..,, /'-//22../..,
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refihng of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2001 182-58-6696 07/01/2002 07/31/20~2 7406.61
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $ 7406.61
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the 05th day of August 2003
Si:?e~tur,e ;~ ~; Title
~ ACS
for L LEDER (800) 829-3903
(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 ~68(Y)(c) (Rev. 10-00)
Part I - Kept By Recordln~ Office
CAT. NO 60025X
23-00-0008
11883 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
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 127224003
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 August 15 c '"?
2003 , is authorized to note the books to show the release of this lien for te
s
-n
C
these taxes and additions. 2M _
r=
Name of Taxpayer ?p?, w oq
THOMAS J & MIRIAM R MARTIN
DC-) X -n
esidence 8917 ROWE RUN RD
R
s z
SHIPPENSBURG, PA 17257-9339 C:D
COURT RECORDING INFORMATION: ?.QCU Pot
Liber Page UCC No. Serial No.
n/a n/a n/a 03-4000 FTL
Tax Period Date of Last Day for U npaid Balance
Kind of Tax Ending identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2001 XXX-XX-6696 07/01/2002 07/31/2012 7406.61
******** ********** ************* ********** ************ ****************
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 7406.61
This notice was prepared and signed at
DETROIT, MI
, on this,
the 21st day of December 2011
Signature
Title Director, Campus Compliance
Operations
(NOTE: Certifioate of officer authorized by law to take acknowledgments is not essential to the validity of Certificate of Release of
Federal Tax lier Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 668 (Z) (Rev. 10-2000)
Part 1 - RECORDING OFFICE CAT. NO 600261
11883 Department of the Treasury - Internal Revenue Service
Form 668 (Z) Certificate of Release of Federal Tax Lien
(Rev. 10-2000)
A Serial Number For Use by Recording Office
rea:
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 127224003
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
C'j
rv
internal revenue tax lien was filed on August 15 C <=
2003 , is authorized to note the books to show the release of this lien for -0:1
mca ;Z
C_
these taxes and additions.
Name of Taxpayer M
w
THOMAS J MIRIAM R MARTIN -<> Q
m _ =-n
C:D
X;=
.
u? `= ? r* r
8917 ROWE RUN RD
>
SHIPPENSBURG, PA 17257-9339 o
COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No.
FTL
n/a n/a n/a 03-4000
Tax Period Date of Last Day for U npaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (C) (d) (e) (fl
1040 12/31/2001 XXX-XX-6696 07/01/2002 07/31/2012 7406.61
******** ********** ************* ********** ************ ****************
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 7406.61
This notice was prepared and signed at
DETROIT, MI
, on this,
the 21st day of December
Signature
2011
.Title Director, Campus Compliance
Operations
(NOTE: Certif rate of officer authorized by law to take acknowledgments is not essential to the validity of Certiticate of Release of
Federal Tax lie -Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 668 (Z) (Rev. 10-2000)
Part 1 - RECORDING OFFICE CAT. NO 600261