HomeMy WebLinkAbout07-5384Form 668 (lf)(c)
(Rev. February 20041
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax L,~en
Area: Serial Number For option I use by. Recordin Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 829-3903
388314707
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As provided by secdon 6321, 6322, and 6323 of the Internal Revenge
Code, we are giving a notice ~ taxes (including interest and penakies)
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have been assessed against the foEowing-named ta~cpayer. We have tlnade 7
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a demand for paynllent of this Eabilhy, but it remains gnpaid. Therefore,
there is a Ikn in favor of the llnital States on all property and rights to ~~/ /~ S'`
property belonging to this wcpaiyer for the amognt of these taxes, and
addhion~ penakks, hKerest, and costs that may surge. ~ ', / Q ~
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Name of Taxpayer RALLIN L PECK
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Residence 1700 GOLDSMITH RD
SHIPPENSBURG
PA 17257-9168
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, !
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unless notice of the lien is refiled by the date given in column (e), this notice shall, ,
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on the day following such date, operate as a certificate of release as defined ~,
in tRC 6325(a1.
Tax Period Date of Last Da~r for unpaid balance
Kind of Tax Ending Identifying Number Asse~sstnent ReflE ng of Assessment
a b c d e
1040 12/31/2001 XXX-XX-1361 02/20/2006 03/21/2016 3729.68
1040 12/31/2002 XXX-XX-1361 02/20/2006 03/21 /2016 7540.31
1040 12/31/2003 XXX-XX-1361 03/05/2007 04/04/2017 2838.75
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~ $ 1410 8.74
This notice was prepared and signed at DETROIT, MI
the 31st day of August 2007
,
on this,
Signature ~ A \Yti~~~~C ACS 2 2- 0 0- 0 0 0 8
for REGINA OWENS (800).829-3903
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of ~lotice of Federa(Tax lien
Rev. Rul. 71-466, 1971 - 2 C.B. 409) Fotm 668(Y)(c) (Rev. 2-2004)
Part 1 -Kept By Recordin:O(flce CAT. NO 60025X
4 8 04 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 by Recordin g Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
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one: (800) 913-6050 388314707 ~ ~
1 certify that the following-named taxpayer, under the requirements of section 6325 (al ('~_ ,,~ ,59P3
of the Internal Revenue Code has satisfied the taxes listed below and all statutory
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additions. Therefore, the lien provided by Code section 6321 for these taxes and , ~ /is
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additions has been released. The proper officer in the office where the notice of
internal revenue tax lien was filed on September 14
2 0 0 7 is authorized to note the books to show the release of this lien for ~
these taxes and additions. c°
Name of Taxpayer ~
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RALLIN L PECK --s
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Residence 17 0 0 GOLDSMITH RD ~ ~~j' 3
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SHIPPENSBURG, PA 17257-916 W
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COURT RECORDING INFORMATION: ~ '""~
Liber Page UCC No. Serial No.
n/a n/a n/a 2007-05384
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Reuling of Assessment
a b c d e f
1040 12/31/2001 XXX-XX-1361 02/20/2006 03/21/2016 3729.68
1040 12/31/2002 XXX-XX-1361 02/20/2006 03/21/2016 7540.31
1040 12/31/2003 XXX-XX-1361 03/05/2007 04/04/2017 2838.75
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~ $ 14108.74
This notice was prepared and signed at
the 01st day of October
Signature
DETROIT, MI
2008_
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 600261