HomeMy WebLinkAbout09-5717Form 668 (Y)(c)
(Rev. February 2004)
6152
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien )7, 457- -7J,7 F1-1-
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
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Lien Unit Phone: (800) 829-3903 571974709 s
As provided by section 6321, 6322, and 6323 of the Internal Revenue i.? )29o
we are giving a notice that taxes (including interest and penalties)
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have been assessed against the following-named taxpayer. We have made 41 9 3 9
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.
Name of Taxpayer DAVID G HALLETT
Residence 836 ALLENVIEW DR
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MECHANICSBURG, PA 17055-6183 '-
NT RELEASE INFORMATION: For each assessment listed below, r,> M
e of the lien is refiled by the date given in column (e), this notice shall,
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following such date, operate as a certificate of release as defined ;
IRC
5(a).
Tax Period Date of Last Day f or Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2000 XXX-XX-1779 05/14/2007 06/13/2017 769.96
1040 12/31/2004 XXX-XX-1779 06/25/2007 07/25/2017 11128.47
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 11898.43
This notice was prepared and signed at
the 11th day of August
DETROIT, MI
2009
, on this,
tle
Signature A 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) Form 668(Y)(c) (Rev. 2-2004)
Part 1 - Kept By Recording Office CAT. NO 60026X
Form 668 (Z) 11883 Department of the Treasury - Internal Revenue Service
(Rev. 10-2000) Certificate of Release of Federal Tax Lien
Area: Serial Number For Use by Recording Office
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (800) 913-6050 571974709
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 August 19 C=
2009 , is authorized to note the books to show the release of this lien for '-, --r--ri
these taxes and additions. rn
Name of Taxpayer C3
MECHANICSBURG, PA 17055-6183
COURT RECORDING INFORMATION: too(
Liber Page UCC No. Serial No.
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilling of Assessment
1040 12/31/2000 XXX-XX-1779 05/14/2007 06/13/2017 769 . 96
1040 12/31/2004 XXX-XX-1779 06/25/2007 07/25/2017 11128 .47
Place of Filing
Prothonotary
Cumberland County Total 11898 .43
Carlisle, PA 17013
This notice was prepared and signed o1 DETROIT, MI on this,
the 01st day of May , 2013 .
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
Part I - RECORDING OFF1 I CE CAT. NO 600261