HomeMy WebLinkAbout10-1556L?f4 /
Form 668 (Y)(c) Department of the Treasury - Internal Revenue Service
IRev. February 2004) Notice of Federal Tax Lien
Area: Serial Number For Optional Use by Recording Office
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (800) 829-7650
628957710 ?
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code
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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, c -4 /3o93
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.
Name of Taxpayer JEREMY W ZEIGLER
Residence 346 OLD STONEHOUSE RD S
BOILING SPRGS, PA 17007
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).
Kind of Tax Tax Period
Ending
Identifying Number Date of
Assessment Last Day for
Refiling Unpaid Balance
of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2003 XXX-XX-3183 06/04/2007 07/04/2017 5364.27
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Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 5364.27
This notice was prepared and signed at
the 25th day of February
DETROIT, MI
2010
, on this,
Signature ! 1 yk,ZF'&? Title
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)
Part 1 - Kept By Recording Office CAT. 668( (Rev. 2-2004)
CAT. NO 60025X
X
11883 Department of the Treasury - Internal Revenue Service
Form 668 (Z) Certificate of Release of Federal Tax Lien
(Rev. 10-2000)
Area: Serial Number For Use by Recording Office
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (800) 913-6050 628957710
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 March 05 ..p ? -Alt-
2010
is authorized to note the books to show the release of this lien for
these taxes and additions.
Name of Taxpayer
JEREMY W ZEIGLER N
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Residence346 OLD STONEHOUSE RD S
BOILING SPRGS, PA 17007
COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No.
n/a n/a n/a 10-1556 FTL ,?2 V! 7??
Tax Period Date of Last Dayy for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment RerLg of Assessment
(a) (b) (c) d) (e) (f)
1040 12/31/2003 XXX-XX-3183 06/04/2007 07/04/201 7 5364.27
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 5364.27
This notice was prepared and signed at
the 18th day of August
DETROIT, MI
2010,
, on this,
Signature A? I Title Director, Campus Compliance
Operations
42W
(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