HomeMy WebLinkAbout09-3822Form 668 MW
(Rev. February 2004)
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien o Q- 3 Paa F' TL.
A Serial Number For Optional Use by Recording Office
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SMALL BUSINESS/SELF EMPLOYED AREA #2
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Lien Unit Phone: (800) 913-6050 552680709 ?• /
As provided by section 6321, 6322, and 6323 of the Internal Revenue 9
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made 1 4 y ?y
a demand for payment of this iiabil ity, but it remains unpaid. Therefore,
there is alien in favor of the united States on aft property and rights to
property belonging to this taxpayer for the amount of these taxes, and o
additional penalties, interest, and costs that may accrue.
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Name of Taxpayer FRENDY D GLASSER M
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Residence 11 BLACK PINE DRIVE
MECHANICSBURG, PA 17050
IMPORTANT RELEASE INFORMATION: For each assessment listed below, -?l
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 8325(a).
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Raffling of Assessment
a b c) d e)
1040 12/31/2006 XXX-XX-0151 09/01/2008 10/01/2018 9483.22
1040 12/31/2007 XXX-XX-0151 08/18/2008 09/17/2018 8925.13
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 18408.35
This notice was prepared and signed at
the 01st day of June
DETROIT, MI
2009
, on this,
Signature A ATitle
CS 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) Form 668(Y)(c) (Rev. 2-2004)
Part 1 - Kept By Recording Office r.AT Nn anr»sx
11883 Department of the Treasury - Internal Revenue Service
Form 668 (Z)
Certificate of Release of Federal Tax Lien
(Rev. 10-2000)
Area: Serial Number For Use b Recordin g Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 552680709
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
additions has been released. The proper officer in the office where the notice of
internal revenue tax lien was filed on June 10 G _... ..;
2009 , is authorized to note the books to show the release of this lien for -per
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these taxes and additions. Tr1 rn
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Name of Taxpayer l?r I
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FRENDY D GLASSER r-C- N :C -n
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Residence ll BLACK PINE DRIVE ? N
y
MECHANICSBURG, PA 17050 -''
COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No.
n/a n/a n/a 09-3822FTL
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilling of Assessment
(a) (bJ (c) (dJ (a) (f)
1040 12/31/2006 XXX-XX-0151 09/01/2008 10/01/2018 9483.22
1040 12/31/2007 XXX-XX-0151 08/18/2008 09/17/2018 8925.13
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 18408.35
This notice was prepared and signed at
DETROIT, MI
, on this,
the 26th day of August 2011
Signature
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