HomeMy WebLinkAbout04-1821Form 668 (Y)(c)
(Rev. February 2004)
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #3
Lien Unit Phone: (800) 829-3903 168860004
As provided by section 6321, 6322, and 6323 of the internal Revenue
Code, we are Living a notice thac taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made
a demand for payment of this liability, buck remains unpaid. Therefore,
there is a lieu in favor of the Unked States on ail property and rights to
property belonging to this taxpayer for the amount of these (~xes, and
additional penalties, iuterest, and costs that may accrue.
Name of Taxpayer SCOTT A DAVIS
Residence
1008
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
For Optional Use by Recording Office
376 BURNT HOUSE RD
CARLISLE, PA 17013-7643
iMPORTANT RELEASE IN]FOR_NATION: For each assessment listed below,
unless notice of the {ien 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 tRC 6325(a).
Tax P~iod Date of last Day~r Unpaid Babnce
Kind of Tax Endiug Idendf3dng Number Assessment Retiring of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/1996 169-56-6143 06/02/1997 07/02/2007 823.09
1040 12/31/1997 169-56-6143 06/01/1998 07/01/2008 1214.24
1040 12/31/1999 169-56-6143 05/29/2000 06/28/2010 939.21
1040 12/31/2000 169-56-6143 06/04/2001 07/04/2011 1690.39
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~; 4666.93
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the 21st day of April 2004
] Title
I
ACS 23-00-0008
(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) IRev. 2-20041
Parc I - Kept ~y Recording Office CAT. NO 60025X
Form 668 (Z) 1.1883 Department of the Treasury - Internal Revenue Service
(Rev 10.2000) Certificate of Release of Federal Tax Lien
Area:
SMALL BUSINE
/ Serial Number For Use by Recording Office
SS
SELF EMPLOYED AREA #2
Uen Unit Phone: (800) 913-6050 168860004
i certify that the following-named taxpayer, under the requirements of section 6325 (a)
_ ? ?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 tn? 1 rJ?"
internal revenue tax lien was filed on April 26 T
2004 is authorized to note the books to show the release of this lien for tzD
these taxes and additions ??' ":
s
.
A
Name of Taxpayer :
SCOTT A DAVIS -- yn
Residence 3 76 BURNT HOUSE RD
CARLISLE, PA 17013-7643
COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No.
n/a n/a n/a 04-1821 FTL
Tax Period
Kind of Tax Ending
Date of
Assessment
1040 1.2/31/1996 XXX-XX-6143 06/0271997 07/02/2007 '•,823
09
1040 12/31/1997 XXX-XX-6143 06/01/1998 07/01/2008 .
1214
24
1040 12/31/1999 XXX-XX-6143 05/29/2000 06/28/2010 .
939
21
1040
**** 12/31/2000 XXX-XX-6143 06/04/2001 07/04/2011 .
1690
39
**** ********** ************* ********** ************ .
****************
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total I$ 4666.93
?. 00 Last Dayy for I Unpaid Balance
Refiling of Assessment
This notice was prepared and signed at DETROI`T', MI
the 27th day of April 2011
Signature
, on this,
Title Director, Campus Compliance
Operations
knvI L: uertiticate 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 60026 600261