HomeMy WebLinkAbout07-6354Form 668 MW
(Rev. February 2004)
6152
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien ?/,A n r_ 3sv F' T1
A Serial Number For Optional Use by Recording Office
rea:
SMALL BUSINESS/SELF EMPLOYED AREA #2 F/ q,4--0
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Lien Unit Phone: (800) 913-6050 399440507 w
As provided by section 6321, 6322, and 6323 of the Internal Revenue
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Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made .7 by is-
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 W
additional penalties, interest, and costs that may accrue. co
Name of Taxpayer MICHAEL D NOLAN r ' ---r
C.3
Residence 2621 MARKET ST APT 2
CAMP HILL, PA 17011-4633
IMPORTANT RELEASE INFORMATION: For each assessment listed below, Crl
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).
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)
1040 12/31/2002 XXX-XX-4906 10/08/2007 11/07/2017 8536.65
1040 12/31/2003 XXX-XX-4906 10/08/2007 11/07/2017 11596.07
1040 12/31/2004 XXX-XX-4906 10/08/2007 11/07/2017 33943.14
1040 12/31/2005 XXX-XX-4906 10/08/2007 11/07/2017 28272.94
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 82348.80
This notice was prepared and signed at
the 23rd day of October
DETROIT, MI
2007
, on this,
Signature A Title
REVENUE OFFICER 22-06-1441
for DENNIS P ZMUDZIN (717) 777-9624
(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 668(Y)(c) (Rev. 2-2004)
Part 1 - Kept By Recording Office CAT. NO 60025X
Form 668 (Z)
(Rev. 10-2000)
2447 Department of the Treasury - Internal Revenue Service
Certificate of Release of Federal Tax Lien
Area: Serial Number For Use b Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
A
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irk ob
Lien Unit Phone: (800) 913-6050 399440507 W
.
I certify that the following-named taxpayer, under the requirements of section 6325 (a) a 6 ? G
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 /L o?? 7.7 9 7
additions has been released. The proper officer in the office where the notice of
internal revenue tax lien was filed on October 30 rl*
2007 is authorized to note the books to show the release of this lien for C 4=
these taxes and additions. -70 s
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e n SI
Name of Taxpayer ?
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MICHAEL D NOLAN w
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Residence 2 6 21 MARKET ST APT 2 C-
CAMP HILL, PA 17011-4633 a
COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No.
`
n/a n/a n/a 07-6354FTL
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilling of Assessment
(a b c d a f
1040 12/31/2002 XXX-XX-4906 10/08/2007 11/07/2017 8536.65
1040 12/31/2003 XXX-XX-4906 10/08/2007 11/07/2017 11596.07
1040 12/31/2004 XXX-XX-4906 10/08/2007 11/07/2017 33943.14
1040 12/31/2005 XXX-XX-4906 10/08/2007 11/07/2017 28272.94
******** ********** ************* ********** ************ ****************
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 82348.80
This notice was prepared and signed at DETROIT, MI
the 05th day of November , 2008
, on this,
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 1 - RECORDING OFFICE CAT. NO 600261