HomeMy WebLinkAbout08-2142Form 668 (Y)(c)
(Rev. February 2004)
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien -14 11 G,
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 829-3903 432388908
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made
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 ALEXIS J POLLACK
For Optional Use by Rec(
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ling Office
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Residence 4902 CARLISLE PIKE PMB 243
MECHANICSBURG, PA 17050-3079
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 Day for
Kind of Tax Ending Identifying Number Assessment Refilling
(a) (b) (c) (d) (e)
1040 12/31/1999 XXX-XX-7164 07/10/2000 08/09/2010
1
1040 1
12/31/2000 XXX-XX-7164 08/06/2007 09/05/2017
1040 12/31/2003 XXX-XX-7164 1 08/06/2007 09/05/2017
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Unpaid Balance
of Assessment
733.14
2546.72
5058.93
Total 1$ 8338.79
This notice was prepared and signed at
DETROIT, MI
the 25th day of March 2008
,
, on this,
Signature A ACS tle
22-00-0008
for REGINA OWENS (800) 829-3903
(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
4804 Department of the Treasury - Internal Revenue Service
Form 668 (Z)
Certificate of Release of Federal Tax Lien
(Rev. 10-20001
Area: Serial Number For Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2 0
/1 rg w
Lien Unit Phone: (800) 913-6050 432388908 d
0
I certify that the following-named taxpayer, under the requirements of section 6325 (a) C*_ 3
of the Internal Revenue Code has satisfied the taxes listed below and all statutory
a? ?3
additions. Therefore, the lien provided by Code section 6321 for these taxes and
a
additions has been released. The proper officer in the office where the notice of
April 03
internal revenue tax lien was filed on
_
2008
is authorized to note the books to show the release of this lien for
these taxes and additions.
Name of Taxpayer
ALEXIS J POLLACK
Residence4902 CARLISLE PIKE PMB 243
MECHANICSBURG, PA 17050-3079
COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No.
n/a n/a n/a 08-2142FTL
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 12/31/1999 XXX-XX-7164 07/10/2000 08/09/2010 733.14
1040 12/31/2000 XXX-XX-7164 08/06/2007 09/05/2017 2546.72
1040 12/31/2003 XXX-XX-7164 08/06/2007 09/05/2017 5058.93
******** ********** ************* ********** ************ ****************
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 8338.79
This notice was prepared and signed at DETROIT, MI
the 13th day of May 2009
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 1 - RECORDING OFFICE - .1- ------