HomeMy WebLinkAbout88-47296152 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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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 32-1
additions has been released. The proper officer in the office where the notice of
internal revenue tax lien was filed on May 19
1988 , is authorized to note the books to show the release of this lien for
these taxes and additions.
Name of Taxpayer
JOHN A BERNARD m -n
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Residence252 INDIAN CREEK DR :
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MECHANICSBURG, PA 17055
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COURT RECORDING INFORMATION: *r
Liber Page UCC No. Serial o.
n/a 91 n/a 4729
Tau Period Date of Last Daayy for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment R efging of Assessment
a b c 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 J$ 33181.76
This notice was prepared and signed at
Philadelphia, PA
, on this,
the 22nd day of June
2008
Signature y 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
6152 Department of the Treasury - Internal Revenue Service
Form o 074 Revocation of Certificate of Release of Federal Tax Lien
S LL BUSINESS SELF EMPLOYED AREA #2 Serial Number
Lien Unit Phone (800) 913-6050 238807725
1 certify that we mistakenly issued a certificate of release
of the Notice of Federal Tax Lien filed against the taxpayer
named below. 1 declare that the certificate of release filed
On 22nd June 2 0 0 8 is revoked and that the
lien is reinstated as provided under Internal Revenue Code
Section 6325(f)(2).
ame of Taxpayer
Residence 252 INDIAN CREEK DR
MECHANICSBURG, PA 17055
COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No.
n/a 91 n/a 4729
Tax Period Date of
Kind of Tax Ending Identifying Number Assessment
Last Day for
_ g
c? N
c? Q
5
1
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Unpaid Balance
of Assessment
6672 12/31/1979 XXX-XX-142309/27/1982 10/27/1988 33181.76
******* ********** ************* ********** ************ ****************
Place of Filing
Total 1 $ 33181.76
This notice was prepared and signed at Philadelphia, PA , on this,
Prothonotary
Cumberland County
Carlisle, PA 17013
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 KWease
of Federal Tax lien Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 12474 (Rev. 10-00)
Part 1 - RECORDING OFFICE COPY CAT. NO 73179W
Roden for RevehW9 -fit a-Allow AWK
and rtu i?t de m of Foidu Tax Lim
0 Federal Tax Lien released in error.
Failure to comply with collateral aeement
in connection with a compromise.
? Liability was not discharged through
litigation.
? Notice of Federal Tax Lien was not refiled
timely.