HomeMy WebLinkAbout04-2748Form 668 (Y)(c)
(Rev. February 2004)
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #3
Lien Unit Phone: (412) 395-5265 173623404
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made
a demand for payment of this liability, but Jt remains unpaid. Therefore,
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 JESSE S & SANDRA MCKEEHAN
1008
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien 0 7 rL
For Optional Use by Recording Office
Residence 530 BOSLER DR
CARLISLE, PA 17013-4412
IlqPORTANT 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
Kind of Tax Ending Identifying Number Assessment Reflling
(a) (b) (c) (d) (e)
1040 12/31/2001 174-40-8033 06/03/2002 07/03/2012
1040 12/31/2002 174-40-8033 05/26/2003 06/25/2013
Unpaid Balance
of Assessment
(f)
33686.91
55836.94
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $ 89523.85
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the 20th day of May 2004
Tit;e
REVENUE OFFICER
(717) 221-3490
23-11-1439
(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.a. 409) Form 668(¥)(C) (Rev. 2-2004)
Par~ I - Kept By Recording Office CAT. NO 60025X
*** PARTIAL *** PARTIAL *** PARTIAL ***
11883 Department of the Treasury - Internal Revenue Service *** PAR' IAL
Form 668 (Z) Certificate of Release of Federal Tax Lien
(Rev. 10-2000)
Recording
r Use b
F Office
b
l N
i y
o
Area: er
um
Ser
a
SMALL BUSINESS/SELF EMPLOYED AREA #2 173623404
Lien Unit Phone: (800) 913-6050
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 g
internal revenue tax lien was filed on June 16
f ?
rnw
XM
r ..
-
or
2004 , is authorized to note the books to show the release of this lien ?
these taxes and additions. C> J C?
Name of Taxpayer
SANDRA M MCKEEHAN only.* SANDRA M MCKEEHAN only, i
-0 '
;
the liability of JESSE S & SANDRA MCKEEHAN. =K z --
c- '
Residence 53 0 BOSLER DR --
CARLISLE, PA 17013-4412
COURT RECORDING INFORMATION : 9 S Po(. ?. T
Liber Page UCC No. Serial No.
e 17f 0,0Z,/
n/a n/a n/a N004-2748 FTL
Tax Period Date of
t Last Day for
Reflling Unpaid W
of Assessm ince
ent
Kind of Tax Ending Identifying Number Assessmen
a) b) Cl (d (® f
1040 12/31/2002 XXX-XX-8033 05/26/2003 06/25/2013 55 36.94
*The con ditions for release of th Notice of Federal Tax Lien agains t
JESSE S SANDRA MC EEHAN have be en met by SA NDRA M MCKEE EAN . This
certific ate release the IRS's cl aim to prope rty and righ s to prope rty
as it pe rtains to t tax years i dentified a h ove for SAND M MCKEEK AN
only.*
*********
**********
*************
**********
************
*********
*****
Place of Filing
Prothonotary
Total
$
55
36.94
Cumberland County
Carlisle, PA 17013
DETROIT, MI
This notice was prepared and signed at
on this,
the 29th day of July 2012
Signature Title
Operations Manager,
Centralized Case Processing-Lie
Unit
(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. 10-4000)
Part 1 - RECORDING OFFICE CAT. NO 60 261