HomeMy WebLinkAbout09-7967Form 668 (Y)(c)
(Rev. February 2004)
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien ,, , b 9- -7 f6 7 FT ?
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050
59730.3409
Pd.
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including interest and penalties) C. 7)f)-
have been assessed against the following-named taxpayer. We have made
a demand for payment of this liability, but it remains unpaid. Therefore, ,73 31-
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. C=D
Name of Taxpayer FULL GOSPEL CHURCH OF GOD 7-1
u (z? i i
Residence
220 ST JOHNS CHURCH RD
CAMP HILL, PA 17011-4047 ]C.)
IMPORTANT RELEASE INFORMATION: For each assessment listed below, N
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 D for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilling of Assessment
(a) (b) (c) (d) (e) f)
941 09/30/2008 23-2182402 12/29/2008 01/28/2019 6339.87
941 12/31/2008 23-2182402 05/11/2009 06/10/2019 4770.54
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 11110.41
This notice was prepared and signed at DETROIT, MI
the 09th day of November 2009
, on this,
Signature -T? A Title
REVENUE OFFICER 22-06-1407
for SEAN DUNLEAVY (717) 777-9626
(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
--*--
Form 668 (Z)
(Rev. 10-2000)
3866 Department of the Treasury -Internal Revenue Service
Certificate of Release of Federal Tax Lien
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 597303409
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
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 November 16
2 0 0 9 is authorized to note the books to show the release of this lien
these taxes and additions.
Name of Taxpayer
FULL GOSPEL CHURCH OF GOD
Residence 22 0 ST JOHNS CHURCH RD
CAMP HILL, PA 17011-4047
COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No.
n/a n/a n/a 09-7967FTL
Tax Period Date of
Kind of Tax Ending Identifying Number Assessment
Use
C'+ ~'
for ~ ~•
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~ ~ --
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~ r.
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- ~ -~,..
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~.-:
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Last Dayy for Unpaid Balance
Refiling of Assessment
941 09/30/2008 23-2182402 12/29/2008 01/28/2019 6339.87
941 12/31/2008 23-2182402 05/11/2009 06/10/2019 4770.54
******** ********** ************* ********** ************ ****************
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
DETROIT, MI
This notice was prepared and signed at
the 21st day of July
Total ($ 11110 .41
on this,
2010
Signature A I Title Director, Campus Compliance
Operations
(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) 1Rev. 10-2000)
Part 1 -RECORDING OFFICE CAT. NO 600261