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HomeMy WebLinkAbout08-60484805 Department of the Treasury -Internal Revenue Service Form 668 (Y)(c) Notice Of Federal Tax Lien /~~ /I ~T~ IRev. February 2004) 1 ~~• Q~~ ~Dy Area: Serial Number WAGE & INVESTMENT AREA #1 Lien Unit Phone: (800) 829-7650 478099608 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 agahut the folloMring-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 aU 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 DAVID R DILLAMAN Residence p0 BOX 2 0 0 t„AMPHILL, PA 17001-0200 For Optional Use by Recording Office z_ ~.' -, ca ~ - _ ---~ - ~ __ ti... _,. - - :.:~ c..~ c,u ., 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 Daayy for Kind of Tax Ending Identifying Number Assessment Re8ling 1040 12/31/2005 XXX-XX-5527 I12/27/2007I 01/26/2018 Place of Filing prothonotary Cumberland County Carlisle, PA 17013 Total ~$ 5385.07 This notice was prepared and signed at DETROIT, MI _.. , lJnpaid Balance of Assessment 5385.07 on this, the 30th day of September 2008 Signature A ACS 11-00-0000 for DEBRA K. HURST (800) 829-7650 (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 Recardie6 ~~ CAT. NO 60025X 11883 Department of the Treasury - Internal Revenue Service Form 668 (Z) Certificate of Release of Federal Tax Lien (Rev. 10-2000) A : Serial Number For Use by Recording Office rea WAGE & INVESTMENT AREA #1 Lien Unit Phone: (800) 913-6050 478099608 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 October 09 c7 ry C 2008 , is authorized to note the books to show the release of this lien for 3 these taxes and additions, v rn =-n r c'j ` Name of Taxpayer tar- rn DAVID R DILLA14AN e r-x Q - 4C) D C5 _n Residence PO BOX 2 0 0 C N onr--? CAMPHILL, PA 17001-0200 ?,, COURT RECORDING INFORMATION: Qv `? G.7- Liber Page UCC No. Serial No. f n/a n/a n/a 2008-06048 17t`a Tax Period Date of Last Day for Unpaid Balance Kind of Tax Ending Identifying Number Assessment Refiting of Assessment (a) (b) (C) (d) (e) (f) 1040 12/31/2005 XXX-XX-5527 12/27/2007 01/26/2018 5385.07 ******** ********** ************* ********** ************ **************** Place of Filing Prothonotary Cumberland County Carlisle, PA 17013 Total 1$ 5385.07 This notice was prepared and signed at DETROIT, MI , on this, the 14th day of December 2011 Signature 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 1 - RECORDING OFFICE CAT. NO 600261