HomeMy WebLinkAbout11-0402Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c)
(Rev. February 2004) Notice of Federal Tax Lien
Area: Serial Number For Optional Use by Recording Office
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (800) 829-7650 739464011
As provided by section 6321, 6322, and 6323 of the Internal Revenue ?(? 1?Q,Z FTL
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 taxpayer for the amount of these taxes, and -`
additional penalties, interest, and costs that may accrue. 1
Name of Taxpayer LEROY E SR & JAYNE C FREY ,r?
"Tj
Residence
2514 ROLO CT r
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MECHANICSBURG, PA 17055-5898 ...
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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
o
i
n I 6325(a). K?L oZ,S3 ??a
Kind of Tax Tax Period
Ending
Identifying Number Date of
Assessment Last Day for
Refiling Unpaid Balance
of Assessment
(a) (b) (c (d) e) f)
1040 12/31/2001 XXX-XX-0480 11/01/2004 12/01/2014 5112.84
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 5112.84
This notice was prepared and signed at
the 06th day of January
DETROIT, MI
2011
, on this,
Signature Title
ACS 11-00-0000
for DEBRA K. HURST -46? (800) 829-7650
(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)
Part 1 - Kept By Recording Office Form 668(Y)(c) (Rev. 2-2004)
CAT. NO 60025X
Form 668 (Z) 4804 Department of the Treasury - Internal Revenue Service
(Rev. 10-2000) Certificate of Release of Federal Tax Lien
Area: Serial Number For Use by Recording Office
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (800) 913-6050 739464011
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 .'7
additions has been released. The proper officer in the office where the notice of rte; -
internal revenue tax lien was filed on January 19 r?1
?-
2011 is authorized to note the books to show the release of this lien for m
a?? -<
these taxes and additions. cn'^ -- r 1 "
Name of Taxpayer
LEROY E SR & JAYNE C FREY x" c?-
7G- C_
"
Z"
Residence2514 ROLO CT ;
MECHANICSBURG, PA 17055-5898
COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No.
n/a n/a n/a 11-402 FTL
Kind of Tax Tax Period
Ending
Identifying Number Date of
Assessment Last Day for
Refilling Unpaid Balance
of Assessment
(a) (b) (C) (d) (e) (f)
1040 12/31/2001 XXX-XX-0480 11/01/2004 12/01/2014 5112.84
******** ********** ************* ********** ************ ****************
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 5112.84
This notice was prepared and signed at
the 02nd day of May
DETROIT, MI
2012
, on this,
*9.50 pt) PI,FF'
ET
Signature Title
Operations Manager,
Centralized Case Processing-Lien Unit
(MUlh: 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 I - RECORDING OFFICE CAT. NO 600261