HomeMy WebLinkAbout09-3982Form 666 (Y)(c)
(Rev. February 2004)
804
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 554785309
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.
INC
Residence 872 HARRISBURG PIKE
CARLISLE, PA 17013-1591
/W, y / - ?/ o is r_ , .?
For Optional Use by Recording Office
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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).
Tax Period Date of Last D for
Kind of Tax Ending Identifying Number Assessment Refs
(a) (b) (c) (d) (e
C
11?
N
4
S - -r;
M
cn
Unpaid Balance
of Assessment
940 12/31/2006 20-3345727 06/23/2008 07/23/2018 486.40
941 03/31/2007 20-3345727 09/10/2007 10/10/2017 819.07
941 06/30/2007 20-3345727 12/24/2007 01/23/2018 1160.44
941 09/30/2007 20-3345727 05/26/2008 06/25/2018 8124.48
941 12/31/2007 20-3345727 05/05/2008 06/04/2018 4123.97
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 14714.36
This notice was prepared and signed at
the 09th day of June
DETROIT, MI
, on this,
2009
Signature -?./ A Title
REVENUE OFFICER 22-06-1407
for SEAN DUNLEAVY (717) 777-9626
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal l ax lien
Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 66SM(c) (Rev. 2-2004)
Part 1 - Kept By RKording Oflke CAT. NO 60025X
14583 Department of the Treasury - Internal Revenue Service
Form 668 (Z)
(Rev. 10-2000) Certificate of Release of Federal Tax Lien
Area: Serial Number For Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 554785309
I 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 t _
additions has been released. The proper officer in the office where the notice of `0 Z "Z-r;
internal revenue tax lien was filed on June 15
fly., c r4�°t--
2009 , is authorized to note the books to show the release of this lien for
(Pr—
these taxes and additions. ..<:
Name of Taxpayer
r—=CD =L. cp i
AMERICAN HEROES INC T-c3 E -;
;mac .
p-. c.a
r7) -<
Residence 872 HARRISBURG PIKE
CARLISLE, PA 17013-1591
COURT RECORDING INFORMATION: 9....cz, fd. Er:
Liber Page UCC No. Serial No.
n/a n/a n/a 09-3982 FTL 'c2 SW 9
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (f)
940 12/31/2006 20-3345727 06/23/2008 07/23/2018 486 .40
941 03/31/2007 20-3345727 09/10/2007 10/10/2017 819 . 07
941 06/30/2007 20-3345727 12/24/2007 01/23/2018 1160 .44
941 09/30/2007 20-3345727 05/26/2008 06/25/2018 8124 .48
941 12/31/2007 20-3345727 05/05/2008 06/04/2018 4123 . 97
**************************************************************************
Place of Filing
Prothonotary
Cumberland County Total $ 14714 .36
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI , on this,
the 30th day of October 2013 .
Signature Title
" -- C-4.s.� 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