HomeMy WebLinkAbout10-5234Form 668 (Y)(c)
(Rev. February 2004)
11883
Department of the. Treasury - Internal Revenue Service
Notice of Federal Tax Lien
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED APEA #2
Lien Unit Phone: (800) 913-6050 683397710
As provided by section 6321, 632Z and 6323 of the Internal Revenue
Code, we are giving a notice that es (including interest and penalties)
have been assessed against the fol ng-named taxpayer. We have made
a demand for payment of this liabili , but it remains unpaid. Therefore,
there is a lien in favor of the Unit States on all property and rights to
O
property belonging to this taxpayer for the amount of these taxes, and
additional penalties, interest, and c is that may accrue. -
Name of Taxpayer JEFFREY A LINE
- c p -.
Residence 11 TOPVIEW DR
CARLISLE, PA 17015-9532
NT RELEASE INFORMATION: For each assessment listed below, -
e of the lien is refilled by the date given in column (e), this notice shall,
F N'pp"Ot.
following such date, operate as a certificate of release as defined
t
1
RC
5(a). a VIP 39
Tax Period Date of La st Day for Unpaid Balance
Kind of Tax Ending Identifjring Number Assessment Refilling of Assessment
(a) (b c) d) (e
1040 12/31/2006 XXX-XX-8349 07/12/2010 08/11/2020 1809.15
Place of Filing
Cumberland County
Carlisle, PA 17013
Total 1 $ 1809.15
This notice was prepared and signed at
29th July
the day of ,
DETROIT, MI
2010
, on this,
Signature A -yh ? Title
REVENUE OFFICER 22-06-1418
for JAKOB PEDERSEN (717) 777-9621
?W
(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(1 (Rev. )
Pant 1 - Kept By Recording Office CAT. NO 60025X
CAT
025X
Form 668 (Z)
(Rev. 10-2000)
11883 Department of the Treasury - Internal Revenue Service
Certificate of Release of Federal Tax Lien
Area:
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050
Serial Number
683397710
For Use by Recording Office
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 August 10
2010 , is authorized to note the books to show the release of this lien for
these taxes and additions.
Name of Taxpayer
JEFFREY A LINE
Residence 11 TOPVIEW DR
CARLISLE, PA 17015-9532
COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No.
n/a n/a n/a 2010-5234
—r
e•D cn
�r~� v
(Pr' ' IV
...‹)› (r
r--
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0S 3 //So /
Kind of Tax
(a)
Tax Period
Ending
(b)
Identifying Number
(c)
Date of
Assessment
(d)
Last Day for
Refiling
(e)
Unpaid Balance
of Assessment
(f)
1040
********
12/31/2006
************
XXX -XX -8349 07/12/2010 08/11/2020 1809.15
******************************************************
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $ 1809.15
This notice was prepared and signed at DETROIT, MI , on this,
the 17th 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 1 - RECORDING OFFICE CAT. NO 600261