HomeMy WebLinkAbout09-0520Form 668 (Y)(c)
(Rev. February 2004)
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax Lien ~ , ~ 4 _ `~~ v ~.- rt L
Area: Serial Number For Optional Use by Recordin Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
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one: (800) 829-3903 510135109 ~(•
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As provided by section 632 t, 6322, and 6323 of the Internal Revenue ~ a is
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made ~ ~ ~ o a y U
a dem~d for payment of this liability, but k remains unpaid. Therefore,
there is a ikn in favor of the linked States on a!1 property and rights to
property belonging to this taxpayer for the amount of these fazes, and
additions! penakks, interest, and costs that may aurae.
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Name of Taxpayer ESLI & RHONDA ARROYO .~,
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Residence 365 MELBOURNE LN ~
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MECHANICSBURG, PA 17055-6626 _
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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, ,
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on the day following such date, operate as a certificate of release as defined
in IRC 63251a).
Tax Period Date of Last Daayy for unpaid Balance
Kind of Tax Ending Identifying Number Assessment ReAl ing of Assessment
a b c d e
1040 12/31/2006 XXX-XX-1065 05/28/2007 06/27/2017 6122.56
Place ofi Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~ $ 612 2.5 6
This notice was prepared and signed at
the 22nd day of January
DETROIT, MI
2009
on this,
Signature ~ A ~>'ti:~~ _ ACS 22-00-0008
for MICHAEL W. COX .(800) 829-3903
(ROTE: 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(lD(c) (Rev. 2-2004)
Part 1 -Kept 9y RetordioE Ollffa CAT. NO 60025X
3756 Department of the Treasury - Internal Revenue Service
Form 668 (Z)
Certificate of Release of Federal Tax Lien
(Rev. 10-2000)
Area: Serial Number For Use b Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 510135109
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
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additions has been released. The proper officer in the office where the notice of 5
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February 02
internal revenue tax lien was filed on 3%' CT
2009 , is authorized to note the books to show the release of this lien for r-.? -?,
these taxes and additions. 3;pn 3 ,
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Name of Taxpayer
ESLI & RHNDA ARROYO
Residence 3 6 5 MELBOURNE LN
MECHANICSBURG, PA 17055-6626
COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No.
AY a 7aSf7
n/a n/a n/a 09-52OFTL
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2006 XXX-XX-1065 05/28/2007 06/27/2017 6122.56
******** ********** ************* ********** ************ ****************
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 6122.56
This notice was prepared and signed at
DETROIT, MI
the 07th day of March , 2012
Signature
, on this,
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