HomeMy WebLinkAbout10-2956Form 668 (Y)(c)
iRev. February 2004)
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien iId _4Q-6L FT1_
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 648850510 _j(q,pp PO PLFF
As provided by section 6321, 6322, and 6323 of the Internal Revenue Cry fib It d
Code, we are giving a notice that taxes (including interest and penalties) d q I5a 3
have been assessed against the following-named taxpayer. We have made
a demand for payment of this liability, but it remains unpaid. Therefore, ?? N
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 JEANETTE M MORRIS
Residence 112 SUNSET LN
NEWVILLE, PA 17241-8764
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 Dayy for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (f)
941 06/30/2009 57-1162554 11/23/2009 12/23/2019 2223.14
941 09/30/2009 57-1162554 12/21/2009 01/20/2020 1673.92
941 12/31/2009 57-1162554 04/12/2010 05/12/2020 2374.37
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 6271.43
This notice was prepared and signed at
the 26th day of April
DETROIT, MI
2010
, on this,
Signature ?- A \Y?t& Title
REVENUE OFFICER 22-06-1408
for MIGNA RODRIGUEZ (717) 777-9622
(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
3621 Department of the Treasury -Internal Revenue Service
Form 668 (Z)
(Rev. 10-20001 Certificate of Release of Federal Tax Lien
Area: Serial Number For Use by Recordin Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 648850510
I 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 May 04
2 010 is authorized to note the books to show the release of this lien for ,r,~
these taxes and additions. ~ ° ~-%
~i
o
Name of Taxpayer -r i"-f` ~---=1
JEANETTE M MORRIS - ~ - `'- ~~ ,i
r-
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~_ _ '
Residence 112 SUNSET LN .
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r =' -''
NEWVILLE, PA 17241-8764 ..
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rv '~`F?
COURT RECORDING INFORMATION:
~• OD ~ ~
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Liber Page UCC No . Serial No . ~
n/a n/a n/a 102956FTL / ~' aSfs~Da
Tax Period Date of Last Day for lJnpaid Balance
Kind of Tax Ending . Identifying Number Assessment Refiling of Assessment
a) b [c d (e [t)
941 06/30/2009 57-1162554 11/23/2009 12/23/2019 2223.14
941 09/30/2009 57-1162554 12/21/2009 01/20/2020 1673.92
941 12/31/2009 57-1162554 04/12/2010 05/12/2020 2374.37
Place of Filing
3 0th day of June
Total ~$ 6271.43
This notice was prepared and signed at
the
Signature
Prothonotary
Cumberland County
Carlisle, PA 17013
DETROIT, MI
2010
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. 4091 Form 668 (Z) (Rev. 10-2000!
Part 1 -RECORDING OFFICE CAT. NO 600261