HomeMy WebLinkAbout10-0717Form 668 (Y)(c)
(Rev. February 2004)
4660
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 #5
Lien Unit Phone: (800) 913-6050
619664510
All 1`
• ?
As provided by section 6321, 6322, and 6323 of the Internal Revenue •.
Code, we are giving a notice that taxes (including interest and penalties) (21C, j 2 Y3
have been assessed against the following-named taxpayer. We have made
a demand for payment of this liability, but it remains unpaid. Therefore, 4
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 U v 1
additional penalties, interest, and costs that may accrue.
Name of Taxpayer KELLY J PLETCHER
Residence 75 OLD PIONEER RD
CAMP HILL, PA 17011-2050
NT RELEASE INFORMATION: For each assessment listed below,
e of the lien is refiled by the date given in column (e), this notice shall,
F
following such date, operate as a certificate of release as defined
IRC
5(a).
Tax Period Date of Last Day f or Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) An
1040 12/31/2008 XXX-XX-5952 06/01/2009 07/01/2019 (7 X4781.77
C-_, 11 ,
My lFT
r
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 14781.77
This notice was prepared and signed at
the 22nd- day of January
DETROIT, MI
2010
, on this,
Signature A \yk? Title
REVENUE OFFICER 25-15-3922
for ROBERT B. RITTER (404) 338-9262
(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 I - Kept By Recording Office CAT. 668(1 (Rev. 2 20041
CAT. NO 60025X
--*-- 11883
(Rev. 10-2000) Department of the Treasury - Internal Revenue Service
Form 668 (Z)
Certificate of Release of Federal Tax Lien
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #5
Lien Unit Phone: (800) 913-6050 619664510
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
additions has been released. The proper officer in the office where the notice of
internal revenue tax lien was filed on January 29
2010 , is authorized to note the books to show the release of this lien for
these taxes and additions.
Name of Taxpayer
KELLY J PLETCHER
Residence 75 OLD PIONEER RD
CAMP HILL, PA 17011-2050
COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No.
n/a n/a n/a 10-717 FTL
Kind of Tax Tax Period
Ending
Identifying Number Date of
Assessment
For Use
a na
. Fri
-
,
`-
r
.fv
-? C-
?-? a7GSS S
WY W -?,
77
77-" Last Daayy for I Unpaid Balance
Reff ng of Assessment
1040 12/3172008 XXX-XX-5952 06/01/2009 07/01/2019 14781.77
******** ********** ************* ********** ************ ****************
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 14781.77
This notice was prepared and signed at
the 30th day of May
DETROIT, MI
2012
, on this,
Signature Title
Operations Manager,
Centralized Case Processing-Lien Unit
(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 i - RECORDING OFFICE CAT. NO 600261