HomeMy WebLinkAbout09-8700Form 668 (Y)(c)
(Rev. February 2004)
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
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one: (800) 913-6050 6056378
As provided by section 6321, 6322, and 6323 of the Internal Revenue ?
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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, ?3s14
there is a lien in favor of the United States on all property and rights to o
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property belonging to this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs that may accrue.
Name of Taxpayer ELIZABETH A BRINK C? -
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Residence 598 1/2 W HIGH ST
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CARLISLE, PA 17013-2849 00 ;{
NT RELEASE INFORMATION: For each assessment listed below, -- -'Cr-'
e of the lien is refiled by the date given in column (e), this notice shall,
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following such date, operate as a certificate of release as defined r
IRC
5(a).
Tax Period Date of Last Day for U npaid Balance
Kind of Tax Ending Identifying Number Assessment Refilling of Assessment
(a) (b) (c) (d) (e) M
940 12/31/2006 20-2449535 09/01/2008 10/01/2018 1302.33
940 12/31/2007 20-2449535 09/01/2008 10/01/2018 1131.41
941 06/30/2006 20-2449535 09/01/2008 10/01/2018 1162.66
941 09/30/2006 20-2449535 09/01/2008 10/01/2018 3384.47
941 12/31/2006 20-2449535 09/01/2008 10/01/2018 927.26
941 12/31/2007 20-2449535 04/07/2008 05/07/2018
941 12/31/2007 20-2449535 10/12/2009 11/11/2019 2523.95
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 10432.08
This notice was prepared and signed at DETROIT, MI
the 09th day of December 2009
, on this,
Signature li? R \Y?_& Title
REVENUE OFFICER 22-06-1418
for JAKOB PEDERSEN (717) 777-9621
(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)
Part 1 Kept By Recording CAT Office CAT. 668( (Rev. 2-2004)
. NO 60025X
X
Form 668 (Z)
(Rev. 10-2000)
11883 Department of the Treasury Internal Revenue Service
Certificate of Release of Federal Tax Lien
A Serial Number For Use by Recording Office
rea:
SMALL BUSINESS/SELF EMPLOYED AREA #2
lien Unit Phone: (800) 913-6050 605637809
1 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
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additions has been released. The proper officer in the office where the notice of
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December 18
internal revenue tax lien was filed on 2M ?r-
ma
2009 is authorized to note the books to show the release of this lien for -
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these taxes and additions.
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Name of Taxpayer s• Cn -T
ELIZABETH A BRINK ti
f ? 70
Residence598 1/2 W HIGH ST
CARLISLE, PA 17013-2849
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COURT RECORDING INFORMATION :
Liber Page UCC No. Serial No. as? y,/3
n/a n/a n/a 09-8700 FTL
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (C) (d) (e) (f)
940 12/31/2006 20-2449535 09/01/2008 10/01/2018 1302.33
940 12/31/2007 20-2449535 09/01/2008 10/01/201.8 1131.41
941 06/30/2006 20-2449535 09/01/2008 10/01/2018 1162.66
941 09/30/2006 20-2449535 09/01/2008 10/01/2018 3384.47
941 12/31/2006 20-2449535 09/01/2008 10/01/2018 927.26
941 12/31/2007 20-2449535 04/07/2008 05/07/2018
941 12/31/2007 20-2449535 10/12/2009 11/11/2019 2523.95
******** ********** ************* ********** ************ ****************
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 10432.08
This notice was prepared and signed at DETROIT , MI
the 27th day of April 2011
Signature
, on this,
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) (Rev. 10-2000)
Part 1 - RECORDING OFFICE CAT. NO 600261