HomeMy WebLinkAbout09-6019Form 668 (Y)(c)
(Rev. February 2004)
6152
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 575684209
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.
Name of Taxpayer TIFFANY A HENRY
Residence 423 HALDEMAN BLVD 2ND FLOOR APT
NEW CUMBERLND, PA 17070-1230
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 Day for
Kind of Tax Ending Identifying Number Assessment Refiling
(a) (b) (c) (d) (e)
1040 12/31/2005 XXX-XX-5005 02/19/2007 03/21/2017
1040
1 12/31/2006
1 XXX-XX-5005
1 06/25/2007
1 07/25/2017
1040 12/31/2007 XXX-XX-5005 10/27/2008 11/26/2018
2023.10
2535.34
2420.55
C"3 ?J
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Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Unpaid Balance
of Assessment
Total 1 $
6978.99
This notice was prepared and signed at DETROIT, MI
the 25th day of August 2009
, on this,
Signature
11-00-0000
11? A ACS tle
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(n(c) (Rev. 2-2004)
Part 1 - Kept By Recording Office CAT. NO 60025X
Form 668 (Z) 14845 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 575684209
1 certify that the following-named taxpayer,under the requirements of section 6325 (a)
cz�
of the Internal Revenue Code has satisfied the taxes listed below and all statutory C= r;
additions. Therefore, the lien provided by Code section 6321 for these taxes and -U:r ZZ ---i
additions has been released. The proper officer in the office where the notice of rqco C=3va
=M
internal revenue tax lien was filed on September 02 =M G"') -0
2009 , is authorized to note the books to show the release of cnf— " M
this lien for 3> C:)
these taxes and additions. rte= 4
Name of Taxpayer C5
X
TIFFANY A HENRY C:)C")
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Residence423 HALDEMAN BLVD 2ND FLOOR APT
NEW CUMBERLND, PA 17070-1230
COURT RECORDING INFORMATION: 19
Liber Page UCC No. Serial No.
n/a n/a n/a 09-6019FTL AWif .2_!PqrrS-7
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)
1040 12/31/2005 XXX-XX-5005 02/19/2007 03/21/2017 2023 . 10
1040 12/31/2006 XXX-XX-5005 06/25/2007 07/25/2017 2535.34
1040 12/31/2007 XXX-XX-5005 10/27/2008 11/26/2018 2420 . 55
Place of Filing
Prothonotary
Cumberland County Total $ 6978.99
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI on this,
the 14th day of August —, 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
Federal Tax lien Rev. Rul. 71-466, 1971 -2 C.B.409) Form 668 (Z) (Rev. 10-2000)
Part 1 - RECORDING OFFICE CAT. NO 600261