HomeMy WebLinkAbout10-5727Dorm 668 (Y)(c)
(Rev. February 2004)
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
Area: Serial Number For Optional Us by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
?.fen t,Jnit Phone: (800) 829-3903
693424810 r
I? - 7,-) 1 ?L
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 '
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property belonging to this taxpayer for the amount of these taxes, and .
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additional penalties, interest, and costs that may accrue. v
.r ?
Narne of Taxpayer SCHAUN D HENRY
,iesidence
506 KENTWOOD DR W
MECHANICSBURG, PA 17050-6836 _j
IMPORTANT RELEASE INFORMATION: For each assessment listed below,
finless notice of the lien is refiled by the date given in column (e), this notice shall, ?q pdP? ?oG
on the day following such date, operate as a certificate of release as defined ?
in IRC 6325(x).
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) M
1040 12/31/2008 XXX-XX-0102 12/07/2009 01/06/2020 50831.78
Place of Filing
Prothonotary
Cumberland County Total50831.78
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI on this,
the 27th day of August 2010
Signature A 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 M tice of Federal Tax lien
Rev. Rul. 71-466, 1971 - 2 C.B. 409)
Form 668( (Rev. 1
Part 1 - Kept By Recording Office CAT.
CAT NO 60025X
025X
11883 Department of the Treasury - Internal Revenue Service
Form 6b8 (Z)
(Rev. 10-2000l Certificate of Release of Federal Tax Lien
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 693424810
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
internal revenue tax lien was filed on September 03
2010 , is authorized to note the books to show the release of this lien for
these taxes and additions.
Name of Taxpayer
SCHAUN D HENRY
Residence 506 KENTWOOD DR
MECHANICSBURG, PA 17050-6836
COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No.
n/a n/a n/a 10-5727FTL
Tax Period Date of
Kind of Tax Ending Identifying Number Assessment
for Unpaid Balance
Last Da
Refing of Assessment
1040 12/31/2008 XXX-XX-0102 .12/07/2009j 01/06/2020 *1 50831.78
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
se by Record
10-50 7a7r-7L
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VAT
Total J$
This notice was prepared and signed at
DETROIT, MI
50831.78
the 03rd day of November , 2010
Signature
, on this,
Title Director, Campus Compliance
Operations
(NOTE: Certificate of officer authorized by law to take acknowledgments is not essential to the vauaity or ceruncare or neiease ar
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