HomeMy WebLinkAbout11-1322Form 668 M(c)
(Rev. February 2004)
3
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
'Z
Lien Unit Phone: (800) 829-3903 7478022.11 4- 7
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 -=
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a demand for payment of this liability, but it remains unpaid. Therefore, qtr
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. = -n
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t
Name of Taxpayer BRYAN L BRADLEY 15
rrl
Residence 1864 WALNUT BOTTOM RD
NEWVILLE, PA 17241-9510
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,
fi
d
d
?g.?DP??'
ne
e
on the day following such date, operate as a certificate of release as
in IRC 6325(a). 1 asCj?s3
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilling of Assessment
(a) (b) (c) (d) (e) (f)
CIVP 09/30/2003 XXX-XX-6078 04/08/2005 05/08/2015 121.60
CIVP 03/31/2004 XXX-XX-6078 04/08/2005 05/08/2015 4803.19
CIVP 06/30/2004 XXX-XX-6078 04/08/2005 05/08/2015 6252.93
Place of Filing
Prothonotary
Cumberland County Total $ 11177.72
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI
the 2 7 th day of January 2011
, on this,
Signature Title
ACS SBSE 22-00-0001
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. 409) Form 668(Y)(c) (Rev. 2-2004)
Part 1 - Kept By Recording Office CAT. NO 60025X
Form 668 (Z) 11883 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
SMALL BUSINESS/SELF EMPLOYED AREA #2
.Lien Unit Phone: (800) 913-6050 1 747802111
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 C-
internal revenue tax lien was filed on February 04 :r
z co w 2011 , is authorized to note the books to show the release of this lien for M -0
-0 rr'
these taxes and additions. ter°` --
-C> N (D I
Name of Taxpayer
BRYAN L BRADLEY CD
Residence1864 WALNUT BOTTOM RD
NEWVILLE, PA 17241-9510
COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No.
n/a n/a n/a 11-1322FTL ho 2 1pS
Tax Period Date of Lut Daky for U"W Balance
Kind of Tax Ending 1donNlying Number Assesmwillit Retang of sment
(81 Ify (aj 1d) A- s M
CIVP 09/30/2003 XXX-XX-6578 04/68-72005 T-0-5/-08/2015 121.60
CIVP 03/31/2004 XXX-XX-6078 04/08/2005 05/08/2015 4803 .19
CIVP 06/30/2004 XXX-XX-6078 04/08/2005 05/08/2015 6252 .93
Place of Filing
Prothonotary
Cumberland County Total $ 11177.72
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI on this,
the 03rd day of April j 2013 .
Signature r. Title
Operations Manager,
Centralized Case Processing-Lien Unit
(NMI. 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 6"(Z) (Rev. 10-2000)
Part 1 -RECORDMG OFMCE CAT. NO 600261