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HomeMy WebLinkAbout09-2604Form 668 (Y)(c) (Rev. February 2004) 4805 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 536978209 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 penalties, interest, and costs that may accrue. X,.Dq- d 6c For Optional Use by lit.P1/j 8I 01 010 71 C 9 tf icy 61?1 aac1a&Z- TL Office Name of Taxpayer KELLY L WENTZ -n -n ' Residence 64 N LOCUST POINT RD ?~_ X_ 51 MECHANICSBURG, PA 17050-4503 im 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, -41 on the day following such date, operate as a certificate of release as defined ., in IRC 6325(a). Tax Period Date of Last D for Unpai$i$alal`ice Kind of Tax Ending Identifying Number Assessment Refilling of Assessment (a) (b) c) d) a CIVP 09/30/2004 XXX-XX-9153 11/21/2005 12/21/2015 CIVP 12/31/2004 XXX-XX-9153 11/21/2005 12/21/2015 10905.51 CIVP 06/30/2005 XXX-XX-9153 11/20/2006 12/20/2016 3738.61 CIVP 09/30/2005 XXX-XX-9153 11/20/2006 12/20/2016 3469.96 CIVP 12/31/2005 XXX-XX-9153 11/20/2006 12/20/2016 1572.21 Place of Filing Prothonotary Cumberland County Carlisle, PA 17013 Total 1$ 19686.29 This notice was prepared and signed at DETROIT, MI , on this, the 16th day of April 2009 Signature IK? A ATitle CS 11-00-0000 for DEBRA K. HURST (800) 829-7650 (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) (Rev. 2-2004) Part 1 - Kent 11y Rocordfing Ofte CAT. NO 60025X 11883 Department of the Treasury - Internal Revenue Service Form 10916 (February 2012) Withdrawal of Filed Notice of Federal Tax Lien Area: Serial Number For Optional Use by Recording Office WAGE & INVESTMENT AREA #1 Lien Unit Phone: (800) 913-6050 536978209 1 certify that the following-named taxpayer has met one or more of the elements of the Internal Revenue Code(IRC)section 6323(j). The Internal Revenue Service therefore withdraws the Notice of Federal Tax Lien for these taxes and additions. The withdrawal of this notice of lien does not affect the statutory lien provided by IRC section 6321;it simply relinquishes any lien priority obtained by the Internal Revenue Service when the notice was filed. The proper official, in the office where the Notice of Federal Tax Lien was filed on U r i l 2 7 2 0 0 9 , is authorized to update the records to show the withdrawal of the notice of lien for these taxes and additions. Name of Taxpayer KELLY L WENTZ ==o Residence -tM -`a�J 64 N LOCUST POINT RD -<= =7. , MECHANICSBURG, PA 17050-4503 A� o COURT RECORDING INFORMATION: --a Liber Page UCC No. Serial No. n/a n/a n/a 09-2604 FTL ago'/©9 Tax Period Date of Last Day for Unpaid Balance Kind of Tax Ending Identifying Number Assessment Refilling of Assessment (a) (b) (c) (d) (e) (f) CIVP 09/30/2004 XXX-XX-9153 11/21/2005 12/21/2015 CIVP 12/31/2004 XXX-XX-9153 11/21/2005 12/21/2015 10905 . 51 CIVP 06/30/2005 XXX-XX-9153 11/20/2006 12/20/2016 3738 . 61 CIVP 09/30/2005 XXX-XX-9153 11/20/2006 12/20/2016 3469 . 96 CIVP 12/31/2005 XXX-XX-9153 11/20/2006 12/20/2016 1572 .21 ****** *********** ************* ********** ************ ***************** Place of Filing Prothonotary Cumberland County Total $ 19686 .29 Carlisle, PA 17013 This certificate was prepared and signed at DETROIT, MI , on this, the 03rd day of May 2013 Signature Title Operations Manager, Centralized Case Processing-Lien Unit Catalog Number 24586T Part 1 Recording Office www.irs.gov Form 10916 (2-2012)