HomeMy WebLinkAbout08-6246Form 668 (Y)(c)
(Rev. February 2004)
4
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
Area: Serial Number
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (800) 829-7650 481625608
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including Interest and penahies)
have been assessed against the folkm4nrnamed 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 penahies, interest, and costs that may accrue.
Name of Taxpayer
Residence 110 N 2ND ST # A
LEMOYNE, PA 17043-1309
?'lo . 6 P"- (.d It Le I-
For Optional Use by Recording Office
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IMPORTANT RELEASE INFORMATION: For each assessment listed below,
LinlRC s notice of the lien is refiled by the date given in column (e), this notice shall,
he day following such date, operate as a certificate of release as defined
m, I
6325(a).
Tax Period Date of Last Day for
Kind of Tax Ending Identifying Number Assessment Refilling
(a) (b) (c) d) (e)
1040 112/31/20031 XXX-XX-9702 108/06/20071 08/06/200709/05/2017
1040 12/31/2004 XXX-XX-9702 09/05/2017
Place of Filing
176.64
9849.29
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 10025.93
This notice was prepared and signed at
the 10th day of October
DETROIT, MI
2008
, on this,
tle
Signature A ACS
11-00-0000
for DEBRA K. HURST (800) 829-7650
n 4
C- C=
-0 Cx: O
mss,,, r?.
r
C tv
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o
m
2
-
Z to
Unpaid Balance
of Assessment
(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 1 - Kept By Recording Office CAT. NO 60025X
- - * - - 6152 Department of the Treasury - Internal Revenue Service
Form 668 (Z) Certificate of Release of Federal Tax Lien
(Rev. 10-2000)
Serial Number For Use b Recordl?g Office
Area:
WAGE & INVESTMENT AREA #1
81625608 /J
/d
?? qF ou
Lien Unit Phone: (800) 913-6050 4 .
I certify that the following-named taxpayer, under the requirements of section 6325 (a) CJC- g 4 4G
of the Internal Revenue Code has satisfied the taxes listed below and all statutory
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additions. Therefore, the lien provided by Code section 6321 for these taxes and 8 -7 3 / OP
additions has been released. The proper officer in the office where the notice of
internal revenue tax lien was filed on October 20
2008 , is authorized to note the books to show the release of this lien for
these taxes and additions.
Name of Taxpayer
KELLI M GALLAGHER - K> =(
Residence 110 N 2ND ST # A - -
LEMOYNE, PA 17043-1309
:. r+
;
1
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COURT RECORDING INFORMATION:
y
.
Liber Page UCC No. Serial No
n/a n/a n/a 08-6246
Tau Period Date of Last ppa?yy for Unpaid Balance
Kind of Tax Ending IdentifAng Number Assessment ROM g of AsMa ment
a b c d s
1040 12/31/2003 XXX-XX-9702 08/06/2007 09/05/2017 176.64
1040 12/31/2004 XXX-XX-9702 08/06/2007 09/05/2017 ; 9849.29
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
I
Total $ ,10025. 93
This notice was prepared and signed at
the 16th day of September, 2009
DETROIT MI
, on this,
Signature A 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