HomeMy WebLinkAbout08-2733Form 668 (Y)(c)
(Rev. February 2004)
Department of the Treasury - Internal Revenue Service
Notice of Federal Tau Lien o p_ .2 '733 F' rL
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2 R n ?/g
Lien Unit Phone: (800) 829-3903 438850508
As provided by section 6321, 6322, and 6323 of the Internal Revenue C.h. Ilv? I
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 N
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property belonging to this taxpayer for the amount of these taxes, and cxr
additional penalties, interest, and costs that may accrue.
Name of Taxpayer GARY L JACKSON N )
S`
CI
Residence 24 FIELD STONE DR )
MECHANICSBURG, PA 17050-1725
1MPORTANT 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 Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Reflling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2004 XXX-XX-2990 03/26/2007 04/25/2017 12765.57
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $
This notice was prepared and signed at
the 17th day of April
DETROIT, MI
12765.57
2008
, on this,
Signature A Title
ACS 22-00-0008
for MICHAEL W FOX (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 66SM(c) (Rev. 2-2004)
Part 1 - Kept By Recording Office CAT. NO 60025X
4805 Department of the Treasury - Internal Revenue Service
Form 668 (Z)
(Rev. 10-20001 Certificate of Release of Federal Tax Lien
Area: Serial Number For Use b Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2 i
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Lien Unit Phone: (800) 913-6050 438850508 cC•
-c
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
`77
additions has been released. The proper officer in the office where the notice of
internal revenue tax lien was filed on April 28
2008 , is authorized to note the books to show the release of this lien for g
these taxes and additions. co
Name of Taxpayer
GARY L JACKSON 2 = '
.? 0
Residence 24 FIELD STONE DR
MECHANICSBURG, PA 17050-1725 ?C
0
COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No.
n/a n/a n/a 2008-02733
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Wiling of Assessment
a b c d • f
1040 12/31/2004 XXX-XX-2990 03/26/2007 04/25/2017 12765.57
******** ********** ************* ********** ************ ****************
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $
This notice was prepared and signed at
the 29th day of October
DETROIT, MI
12765.57
2008
, on this,
Signature A I 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 I - RECORDING OFFICE CAT. NO 600261