HomeMy WebLinkAbout08-17686152
Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c)
(Rev. February 2004) Notice of Federal Tax Lien F. L
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Li
i
Ph
428729008
0
4
P
one: (800) 913-6050
en Un
t 1
,
.
J
As provided by section 6321, 6322, and 6323 of the Internal Revenue ?
Code, we are giving a notice that taxes (including interest and penalties) CJL
have been assessed against the following-named taxpayer. We have made a y?
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 Q o
Name of Taxpayer RONALD A WELLER
-r, ;-;'
? --1
'c c
Residence 80 A GREENWOOD CIR
WORLEYSBURG, PA 17043-1140 ' -?i
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, -< 4? :{
on the day following such date, operate as a certificate of release as defined
in IRC 6325(a).
Tax Period Date of Last Dar?rr for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refili ng of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2004 XXX-XX-0368 11/28/2005 12/28/2015 2539.04
Place of Filing
Prothonotary
Cumberland County Total $ 2539.04
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI , on this,
the 11th day of March 2008
Signature ?l 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 66SM(c) (Rev. 2-2004)
Part I - Kept By Recording Office CAT. NO 60025X
6152 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 Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 428729008
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
additions has been released. The proper officer in the office where the notice of
internal revenue tax lien was filed on March 19
2008 , is authorized to note the books to show the release of this lien for
these taxes and additions.
Name of Taxpayer
RONALD A WELLER
Residence80 A GREENWOOD CIR
WORLEYSBURG, PA 17043-1140
COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No.
n/a n/a n/a 08-1768 FTL
Kind of Tax Tax Period
Ending
Identifying Number Date of
Assessment Last Daar?rr for
Relflling Unpaid Balance
of Assessment
a) b c d s f
1040 12/31/2004 XXX-XX-0368 11/28/2005 12/28/2015 2539.04
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 2539.04
This notice was prepared and signed at DETROIT, MI
the 03rd day of August , 2008
Signature
, on this,
Title Director, Campus Compliance
Operations
%n%pi= %,eruncat8 of otticer 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 I - RECORDING OFFICE Form 668 (Z) (Rev. 10-200
CAT. NO 600261
1
o
N G
? w
W
?'1 L n r 1.j