HomeMy WebLinkAbout08-1709Form 668 (Y)(c)
(Rev. February 2004)
615
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax Lien ~ o ~ ~ 7 a ~ , ~ 7-L
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
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Lien Unit Phone: (800) 829-3903 427526108 .
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As provided by section 6321, 6322, and 6323 of the Internal Revenue ~ ~ 3 3 ~
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made ~,° 24 L ~ ~ ~
a demand for payment of this liability, but it remains unpaid. Therefore,
there is a lien in favor of the 17nited 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. ~ a o
Name of Taxpayer RANDY S BISHOP -c: `fir; ~
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Residence 214 8 DOUGLAS DR r:. °" "~ ~-~ ~-
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CARLISLE, PA 17013-1023 = ~~- -v ~-~-
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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).
Tax Period Date of Last Dayy for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (fl
1040 12/31/1999 XXX-XX-4139 07/17/2000 08/16/2010 765.81
1040 12/31/2001 XXX-XX-4139 06/03/2002 07/03/2012 1507.48
1040 12/31/2002 XXX-XX-4139 06/09/2003 07/09/2013 2015.29
1040 12/31/2003 XXX-XX-4139 05/31/2004 06/30/2014 2048.57
1040 12/31/2004 XXX-XX-4139 05/30/2005 06/29/2015 318.45
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
This notice was prepared and signed at
DETROIT, MI
Total ~$ 6655.60
the 06th day of March 2008
on this,
Signature ~ y i~y~~~%~'-C Title
ACS 22-00-0008
for REGINA OWENS (800) 829-3903
(N01'E: 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(1()(c) (Rev. 2-2004)
Part 1 -Kept By Recording Ofiice CAT. NO 60025x
Form 668 (Z)
(Rev. 10 -2000)
11883 Department of the Treasury - Internal Revenue Service
Certificate of Release of Federal Tax Lien
Area:
SMALL BUSINESS /SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913 -6050
Serial Number
427526108
For Use by Recording Office
I 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 March 14
2008 , is authorized to note the books to show the release of this lien for
these taxes and additions.
Name of Taxpayer
RANDY S BISHOP
Residence 2148 DOUGLAS DR
CARLISLE, PA 17013 -1023
Liber
n/a
Page
n/a
COURT RECORDING INFORMATION:
UCC No. Serial No.
n/a 08 -1709 FTL
9s-0 - / 7
303 3a 5-
Kind of Tax
(a)
1040
1040
1040
1040
1040
Tax Period
Ending
(b)
Identifying Number
(c)
Date of
Assessment
(d)
Last Day for
Refiling
(e)
Unpaid Balance
of Assessment
(f)
12/31/1999
12/31/2001
12/31/2002
12/31/2003
12/31/2004
* * * * * * * * * * * * * * * * * * **
XXX -XX -4139
XXX -XX -4139
XXX -XX -4139
XXX -XX -4139
XXX -XX -4139
07/17/2000
06/03/2002
06/09/2003
05/31/2004
05/30/2005
* * * * * * * * * * * * ** * * * * * * * * * **
08/16/2010 765.81
07/03/2012 1507.48
07/09/2013 2015.29
06/30/2014 2048.57
06/29/2015 318.45
* * * * * * * * * * * ** * * * * * * * * * * * * * * **
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $
6655.60
This notice was prepared and signed at
the
DETROIT, MI , on this,
12th day of March , 2014
Signature
Title
Operations Manager,
Centralized Case Processing -Lien Unit
(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)
Part 1 - RECORDING OFFICE
Form 668 (Z) (Rev. 10 -2000)
CAT. NO 600261