HomeMy WebLinkAbout10-5041Form 668 MW
(Rev. February 2004)
66
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 681418410
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 it 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 RICHARD THOMAS
Residence 155 KEN LIN DR
CARLISLE, PA 17015
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).
DETROIT, MI
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilling of Assessment
a) (b) (c) (d) (e) M
1040 12/31/2007 XXX-XX-9991 02/15/2010 03/16/2020 274.97
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
For Optional Use by Recording Office
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Total 1$ 274.97
This notice was prepared and signed at
the 22nd day of July
, on this,
2010
Signature -T-? A 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
11883 Department of the Treasury -Internal Revenue Service
Form 668 (Z) Certificate of Release of Federal Tax Lien
(Rev. 10-20001
Area: Serial Number For Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 681418410 !D' ~~~~ r~-!~
r
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 O
additions has been released. The proper officer in the office where the notice of ~ a -r1
internal revenue tax lien was filed on August 02 ,.~; ~ o ~
~
2010 is authorized to Hate the books to show the release of this lien for r"n~' C7 rT1-
these taxes and additions. ~r.~ ~ -orn
Name of Taxpayer -®: ~; cx~ ~~,
RICHARD THOMAS ~"- ~-n
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Residence 15 5 KEN LIN DR
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CARLISLE, PA 17015 ~ rv -!
COURT RECORDING INFORMATION: /~l~~--tt
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Liber Page UCC No . Serial No . ~-p0 f~` .~? iLG[
X.et~r.B
n/a n/a n/a 10-5041FTL ~ Z p
Tax Period Date of Last Dayy for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(al (bl (cJ (d) (aJ lf)
1040 12/31/2007 XXX-XX-9991 02./15/2010 03/16/2020 274.97
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~ $ 274.97
This notice was prepared and signed at DETROIT, MI
the 13th day of October 2010
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) Forrn 66$ (Z) tRev. 10-20001
Part i -RECORDING OFFICE CAT. NO 600261