HomeMy WebLinkAbout10-2120Form 668 (Y)(c)
(Rev. February 2004)
Department of the Treasury - Internal Revenue Service F7L
Notice of Federal Tax Lien In - alao . t-- e w
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 829-3903 635550010 1q.00 Pb PLFF
As provided by section 6321, 6322, and 6323 of the Internal Revenue cx
* 13447
Code, we are giving a notice that taxes (including interest and penalties) -
have been assessed against the following-named taxpayer. We have made p.#a3g54y
a demand for payment of this liability, but it remains unpaid. Therefore, E
there is a lien in favor of the United States on all property and rights to o -;
property belonging to this taxpayer for the amount of these taxes, and ,, I
additional penalties, interest, and costs that may accrue.
oF;
Name of Taxpayer CHRISTOPHER A CHRONISTER d'
Residence 1000 W FOXCROFT DR
CAMP HILL, PA 17011-1235 pp
IMPORTANT RELEASE INFORMATION: For each assessment {fisted 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) V)
CIVP 03/31/2006 XXX-XX-5784 04/27/2009 05/27/2019 4037.63
CIVP 06/30/2006 XXX-XX-5784 04/27/2009 05/27/2019 3621.73
CIVP 09/30/2006 XXX-XX-5784 04/27/2009 05/27/2019 4046.22
CIVP 12/31/2006 XXX-XX-5784 04/27/2009 05/27/2019 2341.16
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total I$ 14046.74
This notice was prepared and signed at DETROIT, MI
the 18th day of March 2010
r
, on this,
Signature A Title
ACS 22-00-0008
for MICHAEL W. COX (800) 829-3903
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien
Rev. Rui. 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) 11883 Department of the Treasury - Internal Revenue Service
(Rev. 10-2000) Certificate of Release of Federal Tax Lien
Area: Serial Number For Use by Recording Office
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (800) 913-6050 635550010
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 n c °?1
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 2M
M_
internal revenue tax lien was filed on March 26 == G--pry
2010 , is authorized to note the books to show the release of this lien for " ::0
these taxes and additions. ?-: 'tom
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t
Name of Taxpayer ?? 3 =--t
CHRISTOPHER A CHRONISTER F2 E5 O?
Residence 10 0 0 W FOXCROFT DR
CAMP HILL, PA 17011-1235
COURT RECORDING INFORMATION: G1?
C1 . ?, 7'
Liber Page UCC No. Serial No. "
n/a n/a n/a 10-2120
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) W (c) (dl (el M
CIVP 03/31/2006 XXX-XX-5784 04/27/2009 05/27/2019 4037.63
CIVP 06/30/2006 XXX-XX-5784 04/27/2009 05/27/2019 3621.73
CIVP 09/30/2006 XXX-XX-5784 04/27/2009 05/27/2019 4046.22
CIVP 12/31/2006 XXX-XX-5784 04/27/2009 05/27/2019 2341.16
******** ********** ************* ********** ************ ****************
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 14 04 6.74
This notice was prepared and signed at
the 17th day of August
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
DETROIT, MI
2011