HomeMy WebLinkAbout09-0574 4660
Department of the Treasury -Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien
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(Rev. February 2004)
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Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050
511505509 /~
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As provided by section 6321, 6322, and 6323 of the Internal Revenue ~,~ ~~~ y
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the fottowing-named taxpayer. We have n»de ~ ~ ~0 3 ~Y
a demand for payment of this liability, but it remains unpaid. Therefore, w
there is a lien in favor of the United States on all property and rights to
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property belonging to this taxpayer for the amount of these taxes, and
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tional penalties, interest, and costs that may accrue. - ~
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Name of Taxpayer HILDA M SHOTSBERGER -
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ence 2910 MORNINGSIDE DR ~
CAMP HILL, PA 17011-5816
IMPORTANT RELEASE INFORMATION: 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 ppa~yy for lJnpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of /lssessment
(a) (b c) (d (e (f)
1040 12/31/2004 XXX-XX-3221 06/13/2005 07/13/2015
1040 12/31/2004 XXX-XX-3221 04/09/2007 05/09/2017 103294.65
1040 12/31/2005 XXX-XX-3221 06/19/2006 07/19/2016
1040 12/31/2005 XXX-XX-3221 10/29/2007 11/28/2017 4285.78
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 107580.43
This notice was prepared and signed at DETROIT, MI
the 27th day of January 2009
on this,
Signature ~ A ~/Zi~~ REVENUE OFFICER 22-06-1450
for JEFFREY WHITE (717) 777-9623 x1300
(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(l()(c) iRev. 2-2004)
Part 1 -Kept sY Recording Office CqT. NO 60025X
Form 668 (Z)
(Rev. 10-2000)
4804 Department of the Treasury - Internal Revenue Service
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 511505509
1 certify that the following-named taxpayer, under 1he 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 February 04 , ,
2009 is authorized to note the books to show the release of this lien for
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these taxes and additions. MW
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Name of Taxpayer .
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HILDA M SHOTSBERGER w
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Residence 2 9 10 MORNINGSIDE DR
CAMP HILL, PA 17011-581.6 _=" .
COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No.
n/a n/a n/a 09-574 FTL
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 12/31/2004 XXX-XX--:3221 06/13/2005 07/13/2015
1040 12/31/2004 XXX-XX--:3221 04/09/2007 05/09/2017 103294.65
1040 12/31/2005 XXX-XX--3221 06/19/2006 07/19/2016
1040 12/31/2005 XXX-XX--:3221 10/29/2007 11/28/2017 4285.78
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 107580.43
This notice was prepared and signed at
the 13th day of April
DETROIT, MI
2012
, on this,
Signature Title
Operations Manager,
Centralized Case Processing-Lien Unit
(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