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HomeMy WebLinkAbout10-7438Form bb8 (Y)(c) (Rev. February 20441 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 AREA #2 Lien Unit Phone: (800} 513-6054 722485814 r ~~ !© 7y~ As provided by section b321, b322, and b323 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, ~ ,y, there is a lien in favor of the united States on a[t property and rights to ~ -~~ property belonging to this taxpayer for the amount of these taxes, and ~~ © ~„~ additional penalties, interest, and costs that may accrue. ~~ h ~~ ~ Name of Taxpayer H JAMES SHELEY ~ r'<„Z N ~© ~C© --iC~ ~4 ~ ~~ Residence PO BOX 6 0 2 3 3 ~="~ ti HARRISBURG, PA 17106-0233 ~- c~ ~ ~ IMPORTANT RELEASE INFORMATION: Far each assessment listed below, unless notice of the lien is refiled by the date given in column (e}, this notice shall, ~{ ~9 ~~ on the day following such date, operate as a certificate of release as defined P"' ~"~ in IRC 6325(a). a 5~~~7 Tax Period Date of Last Dayy for Unpaid balance Kind of Tax Ending Identifying Number Assessment Ref iting of Assessment (a) (b) (c) (d) ( e) (f) 1040 12/31/2006 XXX-XX-6781 03/22/2010 04/21j2020 33273.40 Place of Filing Prothonotary Cumberland County Carlisle, PA 17013 Total ~$ 33273.40 This notice was prepared and signed at DETROIT, MI the 17th day of November 2010 on this, Signature ~. Title REVENUE OFFICER 22-06-1411 for DREW N DELENICK "~ (717} 777-9619 (NOTE: Certificate of officer authorized by law to take acknowledgment is not essentiai to the validity of Notice of Federal Tax lien Rev. Rul. 71-466, 1971 - 2 C.B. 409- Form 668(Y)(c) 4Rev. 2-2004) Part 1 -Kept gy Recording Office CAT. NO 60025X ""~f Form 668 (Z) (Rev. 10-2000) 12183 Department of the Treasury - Internal Revenue Service Certificate of Release of Federal Tax Lien Area: Serial Number SMALL BUSINESS/SELF EMPLOYED AREA ##2 Lien Unit Phone: (£300) 913-6050 722.085810 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 -December 02 - ?_ 010 , is authorized to note the books to show the release of this lien for these taxes and additions. i ivame of I axpayer H JAMES SHELEY Residence PO BOX 60233 HARRISBURG, PA 17106-0233 COURT RECORDING INFORMATION: Li.ber Page UCC No. Serial No. n/a n/a n/a 10-7438 Tax Period Date of Kind of Tax Ending Identifying Number Assessment •- ¦ --- il 1040 112/31/2006 XXX-XX-6781 03/22/2010 Place of Filing Prothonotary Cumberland County Carlisle, PA 17013 Total I $ 33273.40 This notice was prepared and signed at DETROIT, MI the 01st day of June 2011 blgnature , on this, Title Director, Campus Compliance Operations Use by Recording Office _ t? C? T 49 Pw - 'T A'-A a &e 37Sr- Last Dayy for U npaid Balance Refiling of Assessment 04/21/2020 33273.40 *********** **************** ?•- ¦. • Criiiicare or orricer 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) Part I - RECORDING OFFICE Form 668 (Z) (Rev. 10-2000) CAT. NO 600261