HomeMy WebLinkAbout04-2352
1008
Form 668 (Y)(c)
(Rev. FebruarY 2Q04)
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
Serial Number
71b.O'l- ;). 3)'.;2. FTJ-
For Optional Use by Recording Office
Area:
SMALL BUSINESS/SELF EMPLOYED AREA #3
Lien Unit Phone: (800) 829-3903 172646504
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 HELEN J MYERS
fk f14{ r I'f. w
lJ:l.. JOJ"
I3v /':>1'13 'f
(")
~
-:--'rr'
cprr,
04---','
0':~'-
~
~f-,
~.,.c:
;':::
::<
Residence
2300 MARKET ST
CAMP HILL, PA 17011-4626
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(al.
Kind of Tax
(a)
1040
Tax Period
Ending
(b)
12/31/1999
Identifying Number
(c)
227-48-8742
Date of
Assessment
(d)
06/02/2003
Last Day for
Ref/ling
(e)
07/02/2013
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $
This notice was prepared and signed at
PHILADELPHIA, PA
the
14th day of May
2004
Sig~re
fc!tiL~E6~.>
~./
Title
ACS
(800) 829-3903
R
......
<:::>
=
..,-
:x
>
-<
~
(Jl
o
"
:i!
nl:!l
~~
:i! _J
,',
'~>l
~(")
<)fi1
~~
-,
~
:z:
w
w
Unpaid Baiance
of Assessment
(f)
15640.16
15640.16
I on this,
23-00-0008
P.... 1 . Kept By Recording Office
(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) IRev. 2-2004)
CAT. NO 60025X
1872
Department of the Treasury - Internal Revenue Service
Certificate of Release of Federal Tax Lien
Form 668 (Z)
(Rev. 10-2000)
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #3
Lien Unit Phone: (412) 395-5265 172646504
I certify that the following-named taxpayer, under the requirements of section 6325 lal
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 May 25
2004 , is authorized to note the books to show the release of this lien for
these taxes and additions.
For Use b
qr-.DO ?cL ~L-C~
~J~W
R.#- 1&./96/
Name of Taxpayer
HELEN J MYERS
Residence 2 300 MARKET ST
CAMP HILL, PA 17011-4626
Liber
n/a
Page
n/a
COURT
UCC No.
n/a
RECORDING INFORMATION:
Serial No.
04-2352 FTL
Tax Period Date of Last Day for Unpaid Baiance
Kind of Tax Ending Identifying Number Assessment Refilmg of Assessment
(a) (b) (e) (d) (e) (f)
1040 12/31/1999 227-48-8742 06/02/2003 07/02/2013 15640.16
******** ********** ************* ********** ************ ****************
-:"-)
f'~'?
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $
15640.16
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the
09th day of March
2005
Sig nature
Title Director, Payment Compl iance
(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)
Part 1 - RECORDING OFFICE
Form 668 (I) IRev. 10-20001
CAT. NO 600261