HomeMy WebLinkAbout88-46606152 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 b Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
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Lien Unit Phone: (800) 913-6050 238802639 c
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1 certify that the following-named taxpayer, under the requirements of section 6325 (a) /
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of the Internal Revenue Code has satisfied the taxes listed below and all statutory >7 93 0
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 ?j rv
internal revenue tax lien was filed on March 07 O
1-988 , is authorized to note the books to show the release of this lien for ?--
these taxes and additions. r ?
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Name of Taxpayer CD
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JOHN A BERNARD
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Residence252 INDIAN CREEK DR „? c>
MECHANICSBURG, PA 17055
COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No. /
n/a n/a n/a 4660
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Humber Assessment R efNing of Assessment
a b a d e f
6672 12/31/1979 XXX-XX-1423 09/27/1982 10/27/1988 33181.76
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $ 33181.76
This notice was prepared and signed at
the 22nd day of June
Philadelphia, PA
2008
, on this,
Signature y ??t J Title Director, Campus Compliance
I 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 t -(RECORDING OFFICE CAT. NO 600261
6152 Department of the Treasury - Internal Revenue Service
Form 12474
(Rev. 10-000) 01
Revocation of Certificate of Release of Federal Tax lien
Area: Serial Number For Use b Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
S? P
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Lien Unit Phone (800) 913-6050 238802639 &"o Ss .f
I certify that we mistakenly issued a certificate of release 99 P4 3 -7Yi-'
of the Notice of Federal Tax Lien filed against the taxpayer
named below. 1 declare that the certificate of release filed
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on 22nd June 2 0 0 8 is revoked and that the
lien is reinstated as provided under Internal Revenue Code n
Section 6325(f)(2).
Name of Taxpayer JOHN A BERNARD
I
-T
Residence 252 INDIAN CREEK DR c.n1
MECHANICSBURG, PA 17055 CZ)
COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No.
n/a n /a n/a 4660
Tax Period Date of Last D for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refi?ng of Assessment
a b c d s It
6672 12/31/1979 XXX-XX-1423 09/27/1982 10/27/1988 33181.76
******* ********** ************* ********** ************ ****************
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $ 33181.76
This notice was prepared and signed at Philadelphia, PA
on this,
the 19th day of August , 2008
Signature
Title Director, Campus Compliance
Operations
(NOTE: Certificate of officer authorized by law to take acknowledgments is not essential to the validity of Revocation of Certificate of Release
of Federal Tax lien Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 12474 (Rev. 10-00)
Put I - RECORDING OFFICE COPY CAT. NO 73179W
and m !' Me" of Fed" UK Lho
M Federal Tax Lien r d in error.
? Failure to comply with collateral agreement
in connection with a compromise.
? Liability was not discharged through
litigation.
? Notice of Federal Tax Lien was not refiled
timely.