HomeMy WebLinkAbout09-7665Form 668 (Y)(c)
(Rev. February 2004)
4
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien 'n, o s- -ic 4 s FT-
Area: Serial Number For Optional Use by Recording Office
WAGE & INVESTMENT AREA #1
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595089509 n T1q,v-a
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one: (800) 829-7650
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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.
have been assessed against the following-named taxpayer. We have made a 3 3 p 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. T'
Name of Taxpayer DOLORES RHEN ° n-n
-r, m
Residence 34 QUEEN AVE y -n
ENOLA, PA 17025-2323 _ N Jrn
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 Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilling of Assessment
(a) (b) (c) (d) (e) W
1040 12/31/2002
1 XXX-XX-9332 03/07/2005 04/06/2015 7574.84
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 7574.84
This notice was prepared and signed at DETROIT, MI
the 30th day of October 2009
, on this,
tle
Signature A ACS
11-00-0000
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(Y)(c) (Rev. 2-2004)
Part 1 - Kept By Recording Office CAT. NO 60025X
11883
(Rev. 10-2000) Department of the Treasury - Internal Revenue Service
Form 10916(c)
Withdrawal of Filed Notice of Federal Tax Lien
Area: Serial Number
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (800) 913-6050 595089509
1 certify that the following-named taxpayer has met one or more of the elements
of the Internal Revenue Code (IRC) section 6323(j). The Internal Revenue Service
therefore withdraws the Notice of Federal Tax Lien for these taxes and additions.
The withdrawal of this notice of lien does not affect the statutory lien provided
by IRC section 6321; it simply relinquishes any lien priority obtained by the Internal
Revenue Service when the notice was filed. The proper official, in the office where
the Notice of Federal Tax Lien was filed on November 06, 2009 ,
Is authorized to update the records to show the withdrawal of the notice of lien
for these taxes and additions.
Name of Taxpayer
DOLORES RHEN
Residence 34 QUEEN AVE
ENOLA, PA 17025-2323
COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No.
n/a n/a n/a 09-7665FTL
Tax Period Date of
Kind of Tax Ending Identifying Number Assessment
For Optional Use by Recordin g Office
Co
=M
cis
CD -
C-Z
rfs
Last Dayy for I Unpaid Balance
Refit ng of Assessment
(a) (b) (c) (d) (e) (t)
1040 12/31/2002 XXX-XX-9332 03/07/2005 04/06/2015 7574.84
****** *********** ************* ********** ************ *****************
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 7574.84
This notice was prepared and signed at
DETROIT, MI
, on this,
the 3 0 th day of September 2011.
Signature
Title Director, Campus Compliance
Operations
Cat. No. 24586T Part 1 - Recording Office Form 10916(c) (Rev. 10-2000)