HomeMy WebLinkAbout09-0126Form 668 (Y)(c)
(Rev. February 2004)
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax Lien y,_ A9 . ~ ~~ rTi
Area: Serial Number For Optional Use by Recording Office
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (800) 829-7650 505101409 ~d, p,~,,~/ s I9> Jo
_
As provided by section 6321, 6322, and 6323 of the Internal Revenue 77YY
Code, we are giving a notke that taxes (including interest and penakies) Gh- X753
have been assessed against the following-named taxpayer. We have made
a dem
d f
f ~ ~ ~ a G /
an
or payment o
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 amou~rt of these taxes, and
addkbnal penalties, interest, and costs that may accrue.
Name of Taxpayer MARK J & SUSAN M KOPCHO
~~+
~ ~
-
~<
Residence .6338 N POWDERHORN RD ~~„~ 3 t
MECHANICSBURG, PA 17050-8305 =` ...,.~
to
IMPORTANT RELEASE INFORMATION: For each assessment listed below, w
unless notice of the lien is refiled by the date given in column (el, this notice shall,
on the day following such date, operate as a certificate of release as defined
in IRC 6325(a).
Kind
of Tax Tax Period
E bang
Identifying Number Date of
Assessment Last Daayy for
Re8ling llnpahl Balance
of Assessment
(
1040 12/31/2005 XXX-XX-2526 11/27/2006 12/27/2016 12133.59
1040 12/31/2007 XXX-XX-2526 11/24/2008 12/24/2018 5390.37
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 17523.96
This notice was prepared and signed at
the 01st day of January
Signature
DETROIT, MI
2009
for DEBRA K ~. HURST
on this,
Title
ACS
(800) 829-7650
11-00-0000
(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) (Rev. 2-2004)
Part 1 -Kept By R~ecordi~ Office
re-r r.in cnn~cv
3621 Department of the Treasury - Internal Revenue Service
Form bb8 (Z)
(Rev. 10-24001 Certificate of Release of Federal Tax Lien
Serial Number For Use by Recordin Office
Area:
SMALL BUSINESS/SELF EMPLOYED AREA ##2
Lien Unit Phone: (800) 513-6050 505101409
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 January 09
2 0 0 9 is authorized to note the books to show the release of this lien for
these taxes and additions.
Name of Taxpayer j? A
)
MARK J & SUSAN M KOPCHO
i
'
ce = c
Residence6338 N POWDERHORN RD
MECHANICSBURG, PA 17050-8305 ..'
COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No. # ac?6?bN
n/a n/a n/a 09-0126
Tax Period Date of Last Dayy for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e1 (f)
1040 12/31/2005 XXX-XX-2526 11/27/2006 12/27/2016 12133.59
1040 12/31/2007 XXX-XX-2526 11/24/2008 12/24/2018 5390.37
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total I$ 17523.96
This notice was prepared and signed at
DETROIT, MI
, on this,
the 15th day of September, 2010
Signature fl, 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