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HomeMy WebLinkAbout11-2704 11883 Department of the Treasury - Internal Revenue Service Form 668 (2)04) Notice of Federal Tax Lien (Rev. February 2004) Area: Serial Number For Optional Use by Recording Office WAGE & INVESTMENT AREA #1 Lien Unit Phone: (800) 829-7650 759153711 TL ' 7? y ? 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, n' 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. == ? ?; ; Name of Taxpayer THOMAS BEWLEY Residence P O BOX 372 - i CAMP HILL, PA 17001-0372 `- 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, 1 g U? ?, ??C? Z on the day following such date, operate as a certificate of release as defined o xct A L i n I 6325(a). Tax Period Date of Last Day 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-9568 03/15/2010 04/14/2020 5036.60 1040 12/31/2006 XXX-XX-9568 03/15/2010 04/14/2020 4784.91 Place of Filing Prothonotary Cumberland County Carlisle, PA 17013 Total 1 $ 9821.51 This notice was prepared and signed at DETROIT, MI the 24th day of February 2011 , on this, Signature Title ACS W&I 11-00-0000 for DEBRA K. HURST (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) Form 668(Y)(c) (Rev. 2-2004) Part 1 -Kept By Recording Office CAT. NO 60025X ki/ 11883 Department of the Treasury - Internal Revenue Service Form 668 (Z) (Rev. 10-2000) Certificate of Release of Federal Tax Lien Serial Number For Use by Recording Office Area: WAGE & INVESTMENT AREA #1 Lien Unit Phone: (800) 913-6050 759153711 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 March 04 internal revenue tax lien was filed on G -_ -! 2011 , is authorized to note the books to show the release of this lien for 03 'lip r"- '0 X - these taxes and additions. Name of Taxpayer THOMAS BEWLEY O 7v ;NC u ? ts s" O o r Z OX 372 Residence P O B CAMP HILL, PA 17001-0372 4 -4 COURT RECORDING INFORMATION: G- Liber Page UCC No. Serial No. n/a n/a n/a 11-2704 Tax Period Date of Last Day for Unpaid Balance Kind of Tax Ending Identifying Number Assessment Refiling of Assessment (a) (bl (C) (d) (e) (f) 1040 12/31/2005 XXX-XX-9568 03/15/2010 04/14/2020 5036.60 1040 12/31/2006 XXX-XX-9568 03/15/2010 04/14/2020 4784.91 ******** ********** ************* ********** ************ **************** Place of Filing Prothonotary Cumberland County Carlisle, PA 17013 Total 1 $ 9821.51 This notice was prepared and signed at DETROIT, MI , on this, the 10th day of August 2011 Signature Title Director, Campus Compliance C` Operations _42% ?--ft (NOTE: 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