HomeMy WebLinkAbout10-3209Form 668 (Y)(c)
(Rev. February 20041
1188
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax Lien In _ 3aoR ~-(
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 829-3903
653020810 /~
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As provided by section 6321, 6322, and 6323 of the Internal Revenue ~~' (D2-08
Code, we are giving a notice that taxes (including interest and penalties) ~~- a y aa9y
have been assessed against the following-named taxpayer. We have made
a demand for payment of this liability, but it remains unpaid. Therefore, r,,,,
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. ~'~ ~ r' ~'
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Name of Taxpayer KEITH A SULTZBAUGH v?~; ~ ~~
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Residence 806 BRIARWOOD LN ?' l w
CAMP HILL, PA 17011-1513 :~
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)
1040 12/31/2004 XXX-XX-9762 01/05/2009 02/04/2019 31015.12
1040 12/31/2005 XXX-XX-9762 01/05/2009 02/04/2019 79266.01
1040 12/31/2006 XXX-XX-9762 06/01/2009 07/01/2019 61223.33
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 171504.46
This notice was prepared and signed at DETROIT, MI
on this,
the 06th day of May 2010
Signature R 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. Rul. 71-466, 1971 - 2 C.B. 409) Form 668(Y)(c) (Rev. 2-2004)
Part 1 -Kept By Recording Office CAT. NO 60025X
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Form 669-B Department of the Treasury-Internal Revenue Service
(September 2008)
I (Section 6325(b)(2)(A)of the Internal Revenue Code)
KEITH A SULTZBAUGH of 906 HUMK0EL AVE. City of LEMOYNE. County of CUMBERLAND, State of PENNSYLVANIA, is
indebted4o the United States for unpaid internal revenue tax in the sum of One hundred twelve thousand, one hundred fifty-five and
thirty-five hundredths Dollars ($112'155.35) aoevidenced /y:
Notice of Federal
Tax Lien Recording Information Date Recorded Taxpayer Identification Number Amount,Shown on Lien
653020810 10-3209FTL 05/14/2010 xxx-xx-9762 $171,504.46
809487611 11-6843FTL 08/31/2011 xxx-xx-9762 $4,594.38
g.wZIW,6d with the
A lien attaching to all the property of the taxpayer was filed to secure the amount owed. The not Xf Iii
Prothonotary,for the County of Cumberland, PA in accordance with the applicable provisions of law.
The lien listed above ks attached to certain property dasorbedoa'
' '
ALL THAT CERTAIN Lot of ground situate in the Borough of Lemoyne,County of
Cumberland,and Commonwealth of Pennsylvania, morgperticulaMyboundgdanddaaudbmdmmhd|own:
BEING Lot No. 2. Section ^F". in Plan of Lots known aa Plan No. 1. Riverton,
Pennsylvania, The said Plan being m*oondwd in the Off ice of the Recorder of Deeds in and For Cumberland County,
aforesaid, a\Carlisle, in Deed Book'J"..Volume 4. Page 4O.
THE said Lot No.2' Section"F".fronting thirty-five 0S feet onthe south side of ^ft 4 bk t� 4/
Hummel Avenue and extending back an even width one hundred thirty-one and forty-six
one-hundredths(131.48)feet too15 feet wide alley.
BEING improved bva two and one-half story brick dwelling house known oa9OG.Hummel Avenue.
NOTE: Always include the address of real property ora descriptive narrative cf personal property in this section when using
"See Attachment"and a more detailed description io being attached.
The Internal Revenue Service acknowledges i of Forty thou sand,five hundred fifty-three and fifty-six hundrmdths
dollars($4O'553.5G}.the Internal �lovmnuaService discharges th�above described property from the lien. However,the
lien verneina in effect for all other property, or rights to property' to which the lien is attached.
Signature Title Date
JOANNE NEMMER ADVISORY GRP MGR
(Note: CeAific
_�at)eof officer authorized by law to take acknowledgements is not essential to the validity of Discharge of
Fedo Rev. Rul. 71
Catalog No. 16751C Form 669-B(Rev. 9-2008)
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