HomeMy WebLinkAbout08-5332Form 668 (Y)(c)
(Rev. February 2004)
Department of the Treasury - Internal Revenue Service
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Notice of Federal Tax Lien C) p, S33.2
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2 y ?g
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Lien Unit Phone: (800) 913-6050 468032408 rid
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As provided by section 6321, 6322, and 6323 of the Internal Revenue a s /v 9
Code, we are giving a notice that taxes (including interest and pemkies)
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 penakles, interest, and costs that may accrue.
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Name of Taxpayer MICHAEL R WHITEHEAD °
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Residence 247 RIDGE HILL RD c?
MECHANICSBURG, PA 17050-1749
IMPORTANT RELEASE INFORMATION: For each assessment listed below,
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unless notice of the lien is refiled by the date given in column (e), this notice shall, u7
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on the day following such date, operate as a certificate of release as defined
in IRC 6325(x).
Tax Period Date of Last D
for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment %
RefiM9 of Assessment
a b) (c d (e) M
1040 12/31/1999 XXX-XX-8435 07/23/2007 08/22/2017 3008.55
1040 12/31/2000 XXX-XX-8435 11/26/2007 12/26/2017 1320.38
1040 12/31/2001 XXX-XX-8435 07/23/2007 08/22/2017 1186.08
1040 12/31/2002 XXX-XX-8435 07/23/2007 08/22/2017 767.17
1040 12/31/2003 XXX-XX-8435 07/23/2007 08/22/2017 1458.15
1040 12/31/2004 XXX-XX-8435 07/23/2007 08/22/2017 59591.52
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 67331.85
This notice was prepared and signed at
the 27th day of August
DETROIT, MI
2008
, on this,
Signature y 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 66SM(c) (Rev. 2-2004)
Part I - Kept By Recording Office CAT. NO 60025X
Form 668 (Z) 4 8 0 5
(Rev. 10-2000)
Area:
SMALL BUSINESS/SELF EMPLOYED AREA, #2
Lien Unit Phone: (800) 913-6050
Department of the Treasury - Internal Revenue Service
Certificate of Release of Federal Tax Lien
Serial Number
468032408
ceruTy 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
interna
l revenue tax lien was filed on September 08
2008
_, is authorized to note the books to show the release of this lien for
these taxes and additions.
Name of Taxpayer
MICHAEL R WHITEHEAD
Residence 24 7 RIDGE HILL RD
MECHANICSBURG, PA 17050-1749
COURT
Liber Page UCC
No. RSerrialNNoINFORMATION:
n/a n/a n/a 085332 /
Kind of Tax
1040
1040
1040
1040
1040
1040
Due
Assessment
For Use by F
At. ?? _Vro'
cjzaan
feu. da/9s.)
Last_ Da?? for
g
07/23/2007
11/26/2007
07/23/2007
07/23/2007
07/23/2007
07/23/2007
Place of Filing
Tax Period
S
12/31/1999
12/31/2000
12/31/2001
12/31/2002
12/31/2003
12/31/2004
XXX-XX-8435
XXX-XX-8435
XXX-XX-8435
XXX-XX-8435
XXX-XX-8435
XXX-XX-8435
************
Prothonotary
Cumberland County
Carlisle, PA 17013
Total I$ 67331.85
This notice was prepared and signed at DETROIT, MI
, on this,
the _25th day of February , 2009
Signature
ivy _ -
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3008.55
1320.38
1186.08
767.17
1458.15
59591.52
Title Director, Campus Compliance
Operations
%,WFUTIcate 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)
Part I - RECORDING OFFICE Form 668 (Z) (Rev. 160026 )
CAT. NO1
08/22/2017
12/26/2/22/201017
087
08/22/2017
08/22/2017
08/22/2017
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