HomeMy WebLinkAbout08-5027Form 668 (Y)(c)
IRev. February 2004)
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax Lien
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 463356008
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a Works that taxes (including interest and penaltks)
have been assessed agahut the following-named taxpayer. We have made
a demand for payment of this liability, but it remains unpaid. Therefore,
there h 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 JASON B
Residence 4 3 0 CANDLEWYCK RD
CAMP HILL, PA 17011-8425
For Optional Use by Recording Ottice
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IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice of the lien is refiled by the date given in column lel, this notice shall,
on the day following such date, operate as a certificate of release as defined
in IRC 63251a).
Tax Period Date of Last Daayy for
Kind of Tax Ending Identifying Number Assessment Reflling
DETROIT, MI
6672 06/30/2003 XXX-XX-6400 02/15/2008 03/17/2018 905.57
6672 09/30/2003 XXX-XX-6400 02/15/2008 03/17/2018 3377.84
6672 12/31/2003 XXX-XX-6400 02/15/2008 03/17/2018 846.69
6672 03/31/2004 XXX-XX-6400 02/15/2008 03/17/2018 921.77
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Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~ $ 6 0 51.8 7
This notice was prepared and signed at
the 12th day of August
unpaid Balance
of Assessment
on this,
2008
Signature A Title
`~ REVENUE OFFICER 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(n(c) IRev. 2-2004)
Part 1 -Kept By ftecordin~ Office CAT. NO 60025X
Form 668 (Z) 11883 Department of the Treasury - Internal Revenue Service
(Rev. 10-2000) Certificate of Release of Federal Tax Lien
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA 42
Lien Unit Phone: (8o0) 913-6050 463356008
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
additions has been released. The proper officer in the office where the notice of
internal revenue tax lien was filed on August 21
_ 2008 , is authorized to note the books to show the release of this lien for
these taxes and additions.
Name of Taxpayer
JASON B HAMILTON
Residence 4 3 0 CANDLEWYCK RD
CAMP HILL, PA 17011-8425
se I)y hecording Otfic(
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Page UCC No. RECORDING INFORMATION :
Serial No. 4 7
n/a n/a n/a 2008-05027
Tax Period
Kind of Tax Ending
Identifying Number Date of
Assessment Last Dar?rr for
R
fili Unpaid Balance
(a)
b)
c e
ng of Assessment
6672
06/30/2003
XXX-XX-6400 d
02/15/2008 s
03/17/2018 fl
905
57
6672 09/30/2003 XXX-XX-6400 02/15/2008 03/17/2018 .
3377
84
6672 12/31/2003 XXX-XX-6400 02/15/2008 03/17/2018 .
846
69
6672 03/31/2004 XXX-XX-6400 02/15/2008 03/17/2018 .
921.77
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 6051.87
This notice was prepared and signed at DETROIT, MI
the 11th day of May 2011
Signature
, on this,
Title Director, Campus Compliance
Operations
It"%PI W-; I.ertiticate of otticer authorized by law to take acknowledgments is not essential to the validity of Certificate of Release of
Federal Tax lien Rev. Ruf. 71-466, 1971 - 2 C.B. 409)
Part I - RECORDING OFFICE Form 668 (Z) (Rev. 10-2000)
CAT. NO 600261