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HomeMy WebLinkAbout11-01785226 Department of the Treasury -Internal Revenue Service Form 668 (Y)(c) Notice of Federal Tax Lien (Rev. February 2004) A Serial Number For Optional Use by Recording Office rea: SMALL BUSINESS/SELF EMPLOYED AREA #2 Lien Unit Phone: (800) 829-3903 735809710 ~ f ,~ ~'7~% C~~ bb r 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 ~~~, ~ "'-~1 n property belonging to this taxpayer for the amount of these taxes, and r= ~~ ~; ~ ~ ~? :a: Y additional penalties, interest, and costs that may accrue. . _~. 1 r r ; _. ca ~ © Name of Taxpayer KEVIN S & GWENYTH L GOFF ~i~1 a ~ == ...i11F~ -- L J --- ~-,~ fV ~,}r i Residence 403 N WALNUT ST A r1 ^ MECHANICSBURG, PA 17055-3379 w w; .~ ~ ` 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, /J ~ ~/ ~~7 •~~~ ~ ~~~0'-L(~G-r~l +~ on the day following such date, operate as a certificate of release as defined 6325 O in IRC (a). S ~33 Tax Period Date of Last Dayy for Unpaid Balance Kind of Tax Ending Identifying Number Assessment Refiling of Assessment (a) (b) (c) (d) (e) (f) 1040 12/31/2005 XXX-XX-5284 08/30/2010 09/29/2020 19777.31 Place of Filing Prothonotary Cumberland County Carlisle, PA .17013 Total ~ $ 19777.31 This notice was prepared and signed at the 23rd day of December DETROIT, MI 2010 on this, Signature Title T~`L~` ACS ?.2- 00-0001 for FRED BANKS (800) 829-3903 (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. 4091 Form 668(Y)(c) (Rev. 2-20041 Part 1 -Kept By Recording Office CAT. NO 60025X - - *' - 11883 Department of the Treasury - Internal Revenue Service Form 669 (Z) Certificate of Release of Fodwal Tax Lien (Rev. 10-2000) cnr I !ea 1 Area: Serial Number SMALL BUSINESS/SELF EMPLOYED AREA #2 735809710 Lien Unit Phone: (800) 913-6050 I certify that the following-roamed 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 January 10 internal revenue tax lien was filed on 2011 , is authorized to note the books to show the release of this lien for these taxes and additions. KEVIN S L GOFF Residence 4 03 N WALNUT ST MECHANICSBURG, PA 17055-3379 COURT RECORDING INFORMATION: Liber Page UCC No. Serial No. n/a n/a n/a 11-178 FTL Tit 1» KhW of Tax niM dendlyin Number 11 . _ ..n 1040 12 /3172605 XXX-XX-5284 08/3.0/2010 ******** ********** ************* ****,?***** ?a rC... v :lam c5 Z -5--TS- Log for 111141111111111116 . . r- =Q C) -r1 09729T 2020 1977.31 place of Filing Prothonotary Total $ 19 77.31 Cumberland County Carlisle, PA 17013 DETROIT, MI , on this, This notice was prepared and signed at the 18th day of July 2012 , Signature Title Operations Case Cage Proceaeig-Li n Unit Centralized , ate of Re ase of Certificate of officer authorized by law to take ackdowledgrnents is not essential to the valkl1tj? of Ceofflts Federal Tax lien Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 6a (Z) (Rev. 1 2000) Part I - RECOMM OHM CAT. NO 261