HomeMy WebLinkAbout09-7547 4660
Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c)
Notice of Federal Tax Lien
(Rev. February 2004)
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 592412809 d_/
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As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including Interest and penalties) Ck Y9 q
have been assessed against the following-named taxpayer. We have made 3.:1 g 13
a demand for payment of this liability, but it remains unpaid. Therefore,
there is alien 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. N
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Name of Taxpayer KENT E & CHERYL A BELLEM °? c o
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Residence
506 ELLEN RD f :
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CAMP HILL, PA 17011-2018 0p
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, CO O
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unless notice of the lien is refiled by the date given in column (e), this notice shall, C?
on the day following such date, operate as a certificate of release as defined
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n I 6325(a).
Tax Period Date of Last D for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refing of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2001 XXX-XX-8220 11/18/2002 12/18/2012 489.75
1040 12/31/2002 XXX-XX-8220 11/24/2003 12/24/2013 2654.81
1040 12/31/2003 XXX-XX-8220 05/31/2004 06/30/2014 1321.08
1040 12/31/2005 XXX-XX-8220 06/09/2008 07/09/2018 10143.48
1040 12/31/2005 XXX-XX-8220 06/09/2008 07/09/2018
1040 12/31/2006 XXX-XX-8220 02/16/2009 03/18/2019 21665.51
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 36274.63
This notice was prepared and signed at
the 22nd day of October
Signature
DETROIT, MI
2009
, on this,
Title
ACS
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)
22-00-0008
Part 1 - Kept ft N± ardie* Office Form 668(%c) Rev. 2- po04)
2447 Department of the Treasury -Internal Revenue Service
Form 668 (Z) Certificate of Release of Federal Tax Lien
(Rev. 10-20001
Area: Serial Number For Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 592412809 ~~g O0 `-~~ I.JC~~~-
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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 ~7~ ~~3~(J
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 2~- ~ ~ 1~oG o
internal revenue tax lien was filed on November 02 ~r
2 0 0 9 is authorized to note the books to show the release of this l ien for
these taxes and additions.
Name of Taxpayer ~ ° -`~,-r
KENT E & CHERYL A BELLEM ~ ° ~
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Residence 506 ELLEN RD - '- ~ ~~?;
CAMP HILL, PA 17011-2018 ~ ~~ -r~ T~i~
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COURT RECORDING INFORMATION: _f
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Liber Page UCC No. Serial No. :~ o
n/a n/a n/a 09-7547 FTL ~
Tax Period Date of Last Dayy for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2001 XXX-XX-8220 11/18/2002 12/18/2012 489.75
1040 12/31/2002 XXX-XX-8220 11/24/2003 12/24/2013 2654.81
1040 12/31/2003 XXX-XX-8220 05/31/2004 06/30/2014 1321.08
1040 12/31/2005 XXX-XX-8220 06/09/2008 07/09/2018 10143.48
1040 12/31/2005 XXX-XX-8220 06/09/2008 07/09/2018
1040 12/31/2006 XXX-XX-8220 02/16/2009 03/18/2019 21665.51
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 36274.63
This notice was prepared and signed at
DETROIT, MI
the 30th day of December 2009
on this,
Signature ~ ~ \YZ~~~~-~ I Title OperationsCampus Compliance
(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. 10-20001
Part 1 -RECORDING OFFICE CAT. NO 600261