HomeMy WebLinkAbout10-4681 11883
Department of the Treasury - Internal Revenue Service
Form 666 (Y)(c)
Notice of Federal Tax Lien
(Rev. February 2004)
Area: Serial Number For Optional Use by Recording Office
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (800) 829-76 0 670498610
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice t t taxes (including interest and penalties)
have been assessed agalnst the following-named taxpayer. We have made
a demand for payment of this l iablllty, but It remains unpaid. Therefore,
there is a lien In favor of the nsted States on all property and rights to C7 a
property belonging to this taxp ayer for the amount of these taxes, and gay C-
additional penalties, interest, nd costs that may accrue. _ r r
?7
Name of Taxpayer JAMISON L KLINE u_
Residence 6147 HA KET WAY - n?
MECHANICS B URG, PA 17050-5211 --
c
IMPORTANT RELEASE INFO TION: For each assessment listed below,
f'
0
1'q
unless notice of the lien is refiled y the date given in column (e), this notice shall, .
t
on the day following such date, operate as a certificate of release as defined
in IRC 6325(x). IA - oq 1/ 3 W)
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending 1 entifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) e) (f)
1040 12/31/2004 -XX-2796 01/05/2009 02/04/2019 7133.95
1040 12/31/2005 XXX-XX-2796 01/05/2009 02/04/2019 6885.42
1040 12/31/2006 XXX-XX-2796 08/03/2009 09/02/2019 8046.20
1040 12/31/2007 -XX-2796 04/12/2010 05/12/2020 8737.54
Place of Filing
Prothono ary
Cumberla d County Total $ 30803.11
Carlisle , PA 17013
This notice was prepared and sig n d at DETROIT, MI , on this,
the 23rd day of June 2010.
Signature A Title
ACS 11-00-0000
for DEBRA K. HURST (800) 829-7650
(NOTE: Certificate of officer aL
Rev. Rul. 71-466, 1971 - 2 C.B
by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien
Form 666(l
Part I - Kept By Recording Office CAT. 2-20041
CAT. NO 60025X
Form 668 (Z)
(Rev. 10-2000)
11290 Department of the Treasury - Internal Revenue Service
Certificate of Release of Federal Tax Lien
Area:
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (800) 913-6050
Serial Number
670498610
For Use by Recording Office
FILED-OFFICE
OF THE PROTHONOTARY
lit OCT -it AM 9;
CUMBERLAND COUNTY
PENNSYLVANIA \ q
\i c�
4
I certify that the
of the Internal
additions. Therefore,
additions has
internal revenue
2010
following -named taxpayer,
Revenue Code has
the lien provided
been released. The
tax lien was filed
, is authorized to note
additions.
under the requirements of section 6325 (a)
satisfied the taxes listed below and all statutory
by Code section 6321 for these taxes and
proper officer in the office where the notice of
on July 16
the books to show the release of this lien for
these taxes and
Name of Taxpayer
JAMISON L KLINE
Residence 6147 HAYMARKET WAY
MECHANICSBURG, PA 17050-5211
COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No.
n/a n/a n/a 10-4081-FTL
Kind of Tax
(a)
Tax Period
Ending
(b)
)6- '-l( I
Identifying Number
(c)
Date of
Assessment
(d)
Last Day for
Refiling
(e)
Unpaid Balance
of Assessment
(f)
1040
1040
1040
1040
*********************************.****************************************
12/31/2004
12/31/2005
12/31/2006
12/31/2007
XXX -XX -2796
XXX -XX -2796
XXX -XX -2796
XXX -XX -2796
01/05/2009
01/05/2009
08/03/2009
04/12/2010
02/04/2019
02/04/2019
09/02/2019
05/12/2020
7133.95
6885.42
8046.20
8737.54
Place of Filing
Prothonotary
Cumberland County Total
Carlisle, PA 17013
$ 30803.11
This notice was prepared and signed at DETROIT, MI , on this,
the 24th day of September, 2014.
Signature
Title
Operations Manager,
Centralized Case Processing -Lien 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. 10-2000)
Part I - RECORDING OFFICE CAT. NO 600261