HomeMy WebLinkAbout09-1525~~.;.,;
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4805
Department of the Treasury -Internal Revenue~~Service
Form 668 (Y)(c) 1rlOtice Of Federal Tax Lien
(Rev. February 2004)
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Area: Serial Number F r Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
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Lien Unit Phone: (800) 913-6050 521483309 ~
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As provided by section 6321, 6322, and 6323 of the internal RRVenue 3 3 a ~
Code, we are .giving a notke that taxes (includh>tg interest and penakies)
have been assessed agahiist the following-named taxpayer. We have made ~ 2 a / ~
a demand for payment of this I~bility, but h remains unpaid. Therefore,
there is a lien in favor of the United States on aff property and rights to
property belonging to this taxpayer for the amount of these taxes, and
additional penakies, interest, and costs that may accrue. n N
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Name of Taxpayer JEFFREY G HAYES P~~ ~ ~
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Residence 8 DICKINSON AVE APT D ~~7:. -..
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CAMP HILL, PA 17011-5415 ~~~~_; -o .~.~
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IMPORTANT RE141EJ1SE 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 ~ Last Daay f unpaid Balance
Kind of Tax Ending Identifying Humber Assessment Reflling of Agent:.-..~.a
(a b c d e
1040 12/31/2004 XXX-XX-2485 12/15/2.008 01/14/20 9 2990.84
1040 12/31/2005 XXX-XX-2485 12/15/2008 01/14/20 9 3162.67
1040 12/31/2006 XXX-XX-2485 12/15/2008 01/14/20 9 2425.15
Place of Filing
Prothonotary
Cuttlberland County
Carlisle, PA 17013
This notice was prepared and signed at
the 03rd day of March
DETROIT, MI
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85.7$.
2009
on this,
Signature ~ y ~/~~ Titte
REVENUE OFFICER 22-06-1418.
for JAKOB PEDERSEN (717) 777-9621
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the val)di of Notice of Federal Tax lien
Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 668(n(c) (Rev. 2-2004)
Part 1 - Kq-t By Recording Office ' CAT. NO 60025X
--*--
Form 668 (Z)
(Rev. 10-2000)
11883 Department of the Treasury - Internal Revenue Service
Certificate of Release of Federal Tax Lien
Area:
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050
Serial Number
521483309
For Use by Recording Office
E. ?ROI VIONOT ::`
2114NUG "13 W23
Ct LIBER SYNI3 CO A
PENN N
J �
a
I certify that the
of the Internal
additions. Therefore,
additions has
internal revenue
2009
following -named taxpayer,
Revenue Code has
the lien provided
been released. The
tax lien was filed
, is authorized to note
additions.
under the requirements of section 6325 (a)
satisfied the taxes listed below and all statutory
by Code section 6321 for these taxes and
proper officer in the office where the notice of
on March 11
the books to show the release of this lien for
these taxes and
Name of Taxpayer
JEFFREY G HAYES
Residence 8 DICKINSON AVE APT D
CAMP HILL, PA 17011-5415
COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No.
n/a n/a n/a 09-1525 FTL
Kind of Tax
(a)
Tax Period
Ending
(b)
Identifying Number
(c)
Date of
Assessment
(d)
Last Day for
Refiling
(e)
Unpaid Balance
of Assessment
(f)
1040
1040
1040
*********************************,****************************************
12/31/2004
12/31/2005
12/31/2006
XXX -XX -2485
XXX -XX -2485
XXX -XX -2485
12/15/2008.
12/15/2008
12/15/2008
01/14/2019
01/14/2019
01/14/2019
2990.84
3162.67
2425.15
Place of Filing
Prothonotary
Cumberland County Total
Carlisle, PA 17013
$ 8578.66
This notice was prepared and signed at DETROIT, MI , on this,
the
30th day of July 2014
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