HomeMy WebLinkAbout10-1234Form 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
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (800) 829-7650
625891710
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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) l
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have been assessed against the following-named taxpayer. We have made
a demand for payment of this liability, but it remains unpaid. Therefore, n W--d ? 3.Z.?
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 OZ3 7Q.2s
additional penalties, interest, and costs that may accrue.
Name of Taxpayer JAMES A WENTZ
Residence 64 N LOCUST POINT RD
MECHANICSBURG, PA 17050-4503
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 Refiling of Assessment
(a) (b) (c) (d) e) M
CIVP 09/30/2004 XXX-XX-3262 11/21/2005 12/21/2015
CIVP 12/31/2004 XXX-XX-3262 11/21/2005 12/21/2015 10905.51
CIVP 06/30/2005 XXX-XX-3262 11/20/2006 12/20/2016 3738.61
CIVP 09/30/2005 XXX-XX-3262 11/20/2006 12/20/2016 3469.96
CIVP 12/31/2005 XXX-XX-3262 11/20/2006 12/20/2016 1572.21
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Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $
19686.29
This notice was prepared and signed at
the 16th day of
DETROIT, MI
, on this,
February 2010
Signature f/ 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
Form 10416 11883 Department of the Treasury - Internal Revenue Service
(February 2012) Withdrawal of Fired Notice of Federal Tax Lien
Area: Serial Number For Optional Use by Recording Office
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (800) 913-6050 625891710
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 fled. The proper official, in the office where
the Notice of Federal Tax Lien was fled on February 23 , 2 010
is authorized to update the records to show the withdrawal of the notice of lien
for these taxes and additions. Z:;:o :;u
Name of Taxpayer Cn r r..0 7"C--'
JAMES A WENTZ r—..... ��
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Residence 64 N LOCUST POINT RD
MECHANICSBURG, PA 17050-4503 ' If
COURT RECORDING INFORMATION: fjL �1� . z .
Liber Page UCC No. Serial No.
n/a n/a n/a 10-1234
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)
CIVP 09/30/2004 XXX-XX-3262 11/21/2005 12/21/2015
CIVP 12/31/2004 XXX-XX-3262 11/21/2005 12/21/2015 10905. 51
CIVP 06/30/2005 XXX-XX-3262 11/20/2006 12/20/2016 3738 .61
CIVP 09/30/2005 XXX-XX-3262 11/20/2006 12/20/2016 3469 . 96
CIVP 12/31/2005 XXX-XX-3262 11/20/2006 12/20/2016 1572 .21
Place of Filing
Prothonotary
Cumberland County Total $ 19686 .29
Carlisle, PA 17013
This certificate was prepared and signed at DETROIT, MI , on this,
the 11th day of April 2013
Signature Title
Operations Manager,
Centralized Case Processing-Lien Unit
Catalog Number 24586T Part 1 -Recording Office www.irs.gov Form 10916 (2-2012)