HomeMy WebLinkAbout04-3346Form 668 (Y)(c)
(Rev. February 2004)
Area: I Serial Number
SMALL BUSINESS/SELF EMPLOYED ~REA #3
Lien Unit Phone: (412) 395-5265 179895104
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 ~axpayer for the amount of these taxes, and
additional penalties, interest, and costs that may accrue.
Name of Taxpayer JACOB III & DIXY GARBER
Residence
1008
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
For Optional Use by Recording Office
82 LINDA DR LOT 35
MECHANICSBURG, PA 17050-1548
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).
Tax Period Date of
Kind of Tax Ending Identifying Number Assessment
(a) (b) (c) (d)
1040 12/31/1997 201-60-8991 06/01/1998
1040 12/31/2000 201-60-8991 10/14/2002
Last Day for Unpaid Balance
Reflling of Assessment
(e) (f)
07/01/2008 775.67
11/13/2012 5458.03
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $ 6233.70
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the 30th day of June 2004
Sigr~ture- ~4L..~,~,
j/e
~r'CINDY SIMCOX (717) 221-3490
(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 6&8(¥)(c) (Rev. 2-2004)
Part I o Kept By Recording Office CAT. NO 60025X
3460 Department of the Treasury -Internal Revenue Service
Form 66s (z>
Certificate of Release of Federal Tax Lien
fRev. 10-20001
Area: Serial Number For Use b y Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913--6050 179895104
1 certify that the following-named taxpayer, under the requirements of sertion 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 vehere the notice of J N
t; o
internal revenue tax lien was filed on July 12 ____ ~U3 "a
W ~_
`
_ 2004_ is authorized to note the books t:o show the release of this lien for aF
T1 ~ °
'n
these taxes and additions. ~~ C l ~~
~
~ _
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Name of Taxpayer r
-- i~,
JACOB II_~ & DIXY GABBER <r a ~~
~
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--..
~~
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Residence 82 LINDA DR LOT 35 _
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MECHANICSBIJRG, PA 17050-1548 a`' '
~
COURT RECORDING INFORMATION : ~-~
d ~ ~~.
Liber Page UCC No.. Serial No. ~
of a n/a n/a 04-3346 FTL ,PjJ~~' a-~ ,~vr0.~
Tax Period Date of Last Dayy for Unpaid Ba lance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/1997' XXX-XX-8991 06/01/1998 07/01/2008 775.67
1040 12/31/2000 XXX-XX-8991 10/14/2002 11/13/2012 5 458.03
******** *****~F**~t~F *ittt***ic*****~IC *icit*ic~ciric** *ir******&~t*-* ic~F:k****~********~F
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 6233.70
This notice was prepared anti signed at
DETROIT, MI
on this,
the 17th day of October
2 012
Signature Title
~~'~~,.,~ Operations Manager,
Centralized Case Processing-Lieen Unit
(NOTE: Certiticate 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 C:AT. NO F>00261