HomeMy WebLinkAbout09-2037Form 668 (Y)(c)
IRev. February 2004)
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax Lien
Area: Serial Number
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (800) 829-7650 526760809
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 remahu unpaid. Therefore,
there is a lien in favor ~ the United States on afl property and rights to
property bebnging to this taxpayer for the amount of these taxes, and
additional penahies, i~rterest, and costs that may accrue.
Name of Taxpayer KEITH A & ANNETTE L HEWITT
Residence 7500 MOLLY PITCHER HWY LOT 16
SHIPPENSBURG, PA 17257-8814
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).
~2f~. d 9- az o
For Optional Use by F
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I Tax Period I I Date of I Last Daayy for
Kind of Tax Ending Identifying Number Assessment Reflling
1040 12/31/2001 XXX-XX-8915 04/12/2004 05/12/2014
1040 12/31/2005 XXX-XX-8915 03/31/2008 04/30/2018
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Unpaid Balance
of Assessment
3259.28
670.75
Total ~$ 3930.03
This notice was prepared and signed at DETROIT, MI
the 24th day of March 2009
on this,
Signature A ACS
11-00-0000
for DEBRA K. HURST (800) 829-7650
(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(n(C) IRev. 2-2004)
Part t -Kept By Recording Office CAT. NO 60025X
Form 668 (Z)
(Rev. 10-2000)
3756 Department of the Treasury - Internal Revenue Service
Certificate of Release of Federal Tax Lien
Area: Serial Number For Use by Recordin g Office
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (800) 913-6050 526760809
1 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 C= 1
additions has been released. The proper officer in the office where the notice of ;Z
,t`
internal revenue tax lien was filed on April 01 =
70 _
i;;_...
2009 , is authorized to note the books to show the release of this lien for -
r-'
these taxes and additions. C)
Name of Taxpayer ?.
KEITH A & ANNETTE L HEWITT ?
CA?(,.
Residence 75 0 0 MOLLY PITCHER HWY LOT 16 C)D
SHIPPENSBURG, PA 17257-8814
COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No. 9 _5???' ?L=• T
n/a n/a n/a 09-2037 ?27/
Tax Period Date of Last Dayy for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2001 XXX-XX-8915 04/12/2004 05/12/2014 3259.28
1040 12/31/2005 XXX-XX-8915 03/31/2008 04/30/2018 670.75
******** ********** ************* ********** ************ ****************
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 3930.03
This notice was prepared and signed at
the 22nd day of February
Signature
DETROIT, MI
2012
, 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 I - RECORDING OFFICE CAT. NO 600261