HomeMy WebLinkAbout08-1468Form 668 (Y)(c)
IRev. February 2004)
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien ,y?. D1= / 1/6 ?/ F rI-
Serial Number For Optional Use by Recording Office
Area:
SMALL BUSINESS/SELF EMPLOYED AREA #2 /JP ?/9
'Pd
Lien Unit Phone: (800) 913-6050 424163308 -
As provided by section 6321, 6322, and 6323 of the Internal Revenue Ck- 2 3&J,
we are giving a notice that taxes (including interest and penalties)
Code
,
have been assessed against the following-named taxpayer. We have made a a 5734
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. N
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Name of Taxpayer DAVID J THOMA En-rS? ?s
C!7-
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1
Residence 110 WALNUT ST < CA
LEMOYNE, PA 17043-1640 t> 3
ach assessment listed below
IMPORTANT RELEASE INFORMATION: F
,
or e
unless notice of the lien is refiled by the date given in column (e), this notice shall, w -<
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 Refiling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2003
1 XXX-XX-4850 12/25/2006 01/24/2017 38056.49
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 38056.49
This notice was prepared and signed at
DETROIT, MI
the 25th day of February 2008
, on this,
Signature A Title
REVENUE OFFICER 22-06-1442
for DAVID M. SHROYER (717) 777-9625 x1320
(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
6152 Department of the Treasury - Internal Revenue Service
Form 668 (Z)
(Rev. 1 0-2000{ Certificate of Release of Federal Tax Lien
Area: Serial Number For Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2 B
Lien Unit Phone: (soo) 913-6050 424163308
I certify that the following-named taxpayer, under the requirements of section 6325 (a) 3S
2
of the Internal Revenue Code has satisfied the taxes listed below and all statutory . a 2 .
additions. Therefore, the lien provided by Code section 6321 for these taxes and 1 of 93 c`
additions has been released. The proper officer in the office where the notice of
internal revenue tax lien was filed on March 05
2008 , is authorized to note the books to show the release of this lien for
these taxes and additions. =
Name of Taxpayer tx
n
-?,
DAVID J THOMAS „
.A
? r= ? nth
?F-n
cf., =
Residence 110 WALNUT ST
LEMOYNE, PA 17043-1640
COURT RECORDING INFORMATION: C°
Liber Page UCC No. Serial No.`
n/a n/a n/a 2008-1468
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Re fiiing of Assessment
(a b) c d e (f
1040 12/31/2003 XXX-XX-4850 12/25/2006 01/24/2017 38056.49
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 38056.49
This notice was prepared and signed at
the 30th day of April
DETROIT, MI
2008
, on this,
Signature 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