HomeMy WebLinkAbout08-2191Form 668 M(c)
(Rev. February 2004)
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien -xb o F. .2,
Serial Number For Optional Use by Recording Office
Area:
SMALL BUSINESS/SELF EMPLOYED AREA #2
Yd
Lien Unit Phone: (800) 913-6050 434129308 ,
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including interest and penalties) ,? 1 s?6
have been assessed against the following-named taxpayer. We have made a 9, G
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
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additional penalties, interest, and costs that may accrue. r ' aa.
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Name of Taxpayer WILLIAM D WELCH '
?Z -"
Residence 300 S MARKET ST - 3
MECHANICSBURG, PA 17055-6326 " tV
IMPORTANT RELEASE INFORMATION: For each assessment listed below, CD
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 Pa for Unpaid Balance
Kind of Tax Ending Identifying Number
1 Assessment Refiling of Assessment
(a) (b) (c) (d) e) (f7
1040 12/31/2001 XXX-XX-7191 05/13/2002 06/12/2012
1040 12/31/2001 XXX-XX-7191 01/05/2004 02/04/2014 1256.27
1040 12/31/2002 XXX-XX-7191 02/24/2003 03/26/2013
1040 12/31/2002 XXX-XX-7191 11/22/2004 12/22/2014 1720.75
1040 12/31/2004 XXX-XX-7191 08/22/2005 09/21/2015 483.14
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 3460.16
This notice was prepared and signed at DETROIT, MI
the 31st day of March 2008
, on this,
Signature A \yh? Title
REVENUE OFFXCER 22-06-1450
for JEFFREY WHITE (717) 777-9623 x1300
(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(1 (Rev. 1
Part 1 - Kept By Recordins Office CAT. NO 60025X
025X
CAT
Form 668 (Z)
iRev. 10-2000)
2447 Department of the Treasury - Internal Revenue Service
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 434129308
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
CK` -r,'; .36
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
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internal revenue tax lien was filed on April 07 Fe
2008 , is authorized to note the books to show the release of this lien for n o
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these taxes and additions. C=
Name of Taxpayer
WILLIAM D WELCH M
,:.
Residence300 S MARKET ST M
MECHANICSBURG, PA 17055-6326 :
:,.? rte
rv
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COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No.
n/a n/a n/a 08-2191
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 12/31/2001 XXX-XX-7191 05/13/2002 06/12/2012
1040 12/31/2001 XXX-XX-7191 01/05/2004 02/04/2014 1256.27
1040 12/31/2002 XXX-XX-7191 02/24/2003 03/26/2013
1040 12/31/2002 XXX-XX-7191 11/22/2004 12/22/2014 1720.75
1040 12/31/2004 XXX-XX-7191 08/22/2005 09/21/2015 483.14
******** ********** ************* ********** ************ ****************
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 3460.16
This notice was prepared and signed at
the 09th day of December
Signature
DETROIT, MI
2009
, 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 CAT. NO 600261