HomeMy WebLinkAbout09-2913Form 668 (Y)(c)
(Rev. February 2004)
244'7
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien 0 0_ z 9 f 3 F 7"L-
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Uen Unit Phone: (800) 829-3903
542042709
P j, J,# ¢ /4,
As provided by section 6321, 6322, and 6323 of the Internal Revenue ,
3
Code, we are giving a notice that taxes (including interest and penalties) 33
Cl
have been assessed against the following-named taxpayer. We have made d .2 y 4 / 4
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. C CS
Name of Taxpayer DANIEL K BERGEY -o c7
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Residence 1022 TRINDLE RD i
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s?• "r:
CARLISLE, PA 17013-2629 'x;
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IMPORTANT RELEASE INFORMATION
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ow,
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or eac
assessmen
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:
unless notice of the lien is refiled by the date given in column (e), this notice shall,
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n the day following such date, operate as a certificate of release as defined
o
i
n IRC 6325(a).
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment R efliing of Assessment
(a) (b) (c) (d) (e) M
1040 12/31/2005
1 XXX-XX-2785 06/12/2006 07/12/2016 1402.44
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 1402.44
"this notice was prepared and signed at
DETROIT, MI
the 30th day of April 2009
, on this,
Signature ?" H Title
ACS 22-00-0008
for MICHAEL W. COX (800) 829-3903
(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)
. NO 60025X
Part 1 - K? CAT Kept By Recording Office CAT. 668( (Rev. 1
025X
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
542042709
For Use by Recording Office
OF
' ki�.C�.��GP�
CUMBERLASO COUNTY
pENNSYLVANIN
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 May 11
the books to show the release of this lien for
these taxes and
Name of Taxpayer
DANIEL K BERGEY
Residence 1022 TRINDLE RD
CARLISLE, PA 17013-2629
COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No.
n/a n/a n/a 09-2913
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
**************************************************************************
12/31/2005
XXX-XX-2785
06/12/2006
07/12/2016
1402.44
Place of Filing
Prothonotary
Cumberland County Total
Carlisle, PA 17013
$ 1402.44
This notice was prepared and signed at DETROIT, MI
on this,
the
30th day of April
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 I - RECORDING OFFICE
CAT. NO 600261