HomeMy WebLinkAbout04-18201008
Form 668 (Y)(c)
(Rev. February 2004)
Area: I Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #3
lien Unit Phone: (800) 829-3903 168859904
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 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 penaitias, interest, and costs that may accrue.
Name of Taxpayer SCOTT A & LISA M DAVIS
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien 7 .ov- F L.
For Optional Use by Recording Office
Residence
376 BURNT HOUSE RD
CARLISLE, PA 17013-7643
IMPORTANT RELEASE INFORIffATION: 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 Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Reflling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2002 169-56-6143 05/26/2003 06/25/2013 969.28
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~; 969.28
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the 21st day of April 2004
Signatare Title
ACS 23 -00-0008
for~Li LSD*E~%, .~ ~:,. (800) 829-3903
11883 Department of the Treasury- Internal Revenue Service
Form 668 (Z)
(Rev. 10-2000) Certificate of Release of Federal Tax Lien
Area: Serial Number For Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 168859904
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 7)
'
additions. Therefore, the lien provided by Code section 6321 for these taxes and -D __q
additions has been released. The proper officer in the office where the notice of
rTj
d-'
internal revenue tax lien was filed on April 26
2004 , is authorized to note the books to show the release of this lien for
! ='
.,?I> G
these taxes and additions. CPO
.??`
Name of Taxpayer c`: -r1
SCOTT A & LISA M DAVIS
Residence 3 76 BURNT HOUSE RD
CARLISLE, PA 17013-7643
COURT RECORDING INF'ORMATION: OO
Liber Page UCC No. Serial No.
n/a n/a n/a 04-1820 CIVIL T 7t- S ?y'C! 7
Kind of Tax Tax Period
Ending
Identifying Number Date of
Assessment Last Da?yy for
Refiling Unpaid Balance
of Assessment
(al (b) (c) (d)
(®1
(f1
1040 12/31/2002 XXX-XX-6143 05/26/2003 06/25/2013 969.28
******** ********** ************* ********** *********** * ****************
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 969.28
This notice was prepared and signed at DETROIT, MI
the ___27th day of April , 2011
Signature
, on this,
Title Director, Campus Compliance
Operations
knvit: i-ertiticate 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. 1 1
CAT. NO 600261