HomeMy WebLinkAbout07-7586Form 668 (Y)(c)
(Rev. February 2004)
6152
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax Lien ~,, ~ ~,_ .~ c- ~ ~ ~r~
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050
408739207 ~~n
Yd. ~'~~ ~
~~'i•(rU
As provided by section 6321, 6322, and 6323 of the Internal Revenue ~ / ~/1s
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made ~~,,, ~ ~~ / d~'
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.
Name of Taxpayer COLLEEN DORSEY ~v°N
~.. ~
~Ye
Residence 2 5 0 S 15TH ST ~'~'~
CAMP HILL PA 17011-5503 ~
~,
~~
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, Q
-° ~
on the day following such date, operate as a certificate of release as defined :..~ tV
in IRC 6325(a). p -.C
Kind of Tax Tax Period
Ending
Identifying Number Date of
Assessment Last Day for
Refiling lJnpaid Balance
of Assessment
(a) (b) (c) (d) (e) (~
941 09/30/2004 25-1870514 01/10/2005 02/09/2015 1485.14
941 12/31/2004 25-1870514 09/12/2005 10/12/2015 4622.82
941 03/31/2005 25-1870514 07/11/2005 08/10/2015 3360.29
941 06/30/2005 25-1870514 10/10/2005 11/09/2015 3870.42
941 09/30/2005 25-1870514 04/03/2006 05/03/2016 2070.56
941 12/31/2005 25-1870514 04/17/2006 05/17/2016 919.82
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 16329.05
This notice was prepared and signed at
DETROIT, MI
on this,
the 11th day of December 2007
Signature A ~ Title
REVENUE OFFICER 22-06-1407
for SEAN DUNLEAVY (717) 777-9626
(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(ln(c) (Rev. 2-2004)
Part 1 -Kept By Recording Office CAT. NO 60025X
3625 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 Recordin g Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 408739207
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 C)
additions has been released. The proper officer in the office where the notice of C
internal revenue tax lien was filed on December 19 t3? "*t I n- -
2007 is authorized to note the books to show the release of this lien for Z= Co rn
these taxes and additions.
IV C3
--a ca
Name of Taxpayer
MW
c) -n
COLLEEN DORSEY 2G
C")
D
ai
C- CD
F'
Residence250 S 15TH ST _
CAMP HILL, PA 17011-5503
COURT RECORDING INFORMATION :
Liber Page UCC No. Serial No.
v
n/a n/a n/a 07-7586
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (C) (dl (el (f)
941 09/30/2004 25-1870514 01/10/2005 02/09/2015 1485.14
941 12/31/2004 25-1870514 09/12/2005 10/12/2015 4622.82
941 03/31/2005 25-1870514 07/11/2005 08/10/2015 3360.29
941 06/30/2005 25-1870514 10/10/2005 11/09/2015 3870.42
941 09/30/2005 25-1870514 04/03/2006 05/03/2016 2070.56
941 12/31/2005 25-1870514 04/17/2006 05/17/2016 919.82
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total J$ 16329.05
This notice was prepared and signed at
DETROIT, MI
the 14th day of February 2012
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 I - RECORDING OFFICE CAT. NO 600261