HomeMy WebLinkAbout04-1264Form 668 M(c)
(Rev. February 2004)
1008
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien ` y F T?
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #3
Lien Unit Phone: (800) 829-3903 161312004
As provided by section 6321, 6322, and 6323 of the Internal Revenue
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
property belonging to this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs that may accrue.
Name of Taxpayer ALAN G UNGER
Residence 236 RED TANK RD
BOILING SPRGS, PA 17007-9556
JI'D av - i
For Optional Use by Recording Office
?, 9LL
f ? 933
IMPORTANT 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
Kind of Tax Ending Identifying Number Assessment Refilling
(a) (b) (c) (d) (e)
1040 12/31/2001 204-48-6454 11/18/2002 12/18/2012
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
This notice was prepared and signed at
the 09th day of March 2004
PHILADELPHIA, PA
Total $
, ? hJ
',
c?
Unpaid Balance
of Assessment
(f)
20625.85
20625.85
on this,
11
Sign lure Title
?f ( ACS 23-00-0008
for LEfrA (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 668(Y)(c) (Rev. 2-2004)
Part 1 - Kept By Recording Office CAT. NO 60025X
Form 668 (Z) 4805 Department of the Treasury - Internal Revenue Service
(Rev. 10-2000) Certificate of Release of Federal Tax Lien
Area: Serial Number For Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Li
it Ph
U P t?
en
n
one: (800) 913-6050 161312004
I certify that the following-named taxpayer, under the requirements of section 6325 (a) yG ?p
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 pp
Ot.ty956 J?
additions has been released. The proper officer in the office where the notice of
internal revenue tax lien was filed on March 24
2004 , is authorized to note the books to show the release of this lien for
these taxes and additions.
Name of Taxpayer
--I
ALAN G LINGER r -_
co 'J
Residence 2 3 6 RED TANK RD
BOILING SPRGS, PA 17007-9556 - ca
COURT RECORDING INFORMATION: Gy
Liber Page UCC No. Serial No. /
n/a n/a n/a 04-1264 FTL V/ _
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (a) (f)
1040 12/31/2001 204-48-6454 11/18/2002 12/18/2012 20625.85
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
This notice was prepared and signed at
DETROIT, MI
, on this,
the 11th day of July
Total 1$ 20625.85
2007,
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