HomeMy WebLinkAbout11-3397Form 668 M(c)
(Rev. February 2004)
11883
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
A Serial Number For Optional Use by Recording Office
rea:
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 829-3903 769161611
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 Cl)
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a demand for payment of this liability, but it remains unpaid. Therefore, c o
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there is a lien in favor of the United States on all property and rights to MW a =-r1
property belonging to this taxpayer for the amount of these taxes, and z -
additional penalties, interest, and costs that may accrue. u,r :;v
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Name of Taxpayer JOHN M CADDELL r
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E:)
Residence 340 N 25TH ST
CAMP HILL, PA 17011-3612 CO
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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,
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on the day following such date, operate as a certificate of release as defined
in IRC 6325(a). el?# .2 S -7 3 Y
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Reli ing of Assessment
(a) (b) (c (d (e (f)
1040 12/31/2005 XXX-XX-4864 07/26/2010 08/25/2020 57113.91
1040 12/31/2006 XXX-XX-4864 04/13/2009 05/13/2019 77121.59
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 134235.50
This notice was prepared and signed at
DETROIT, MI
the 2 3 rd day of March 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)
(Rev. 10 -2000)
11883 Department of the Treasury - Internal Revenue Service
Certificate of Release of Federal Tax Lien
Area:
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (800) 913 -6050
Serial Number
769161611
For Use by Recording Office
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 April 01
2011 , is authorized to note the books to show the release of this lien for
these taxes and additions.
Name of Taxpayer
JOHN M CADDELL
Residence340 N 25TH ST
CAMP HILL, PA 17011 -3612
COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No.
n/a n/a n/a 11 -3397
3 61/ 9
Kind of Tax
(a)
1040
1040
* * * * * * **
Tax Period
Ending
(b)
Identifying Number
(c)
Date of
Assessment
(d)
Last Day for
Refiling
(e)
Unpaid Balance
of Assessment
(f)
12/31/2005 XXX -XX -4864 07/26/2010
12/31/2006 XXX -XX -4864 04/13/2009
****** * * * * * * * * * * * * * * * * * * ** * * * * * * * * * **
08/25/2020 57113.91
05/13/2019 77121.59
* * * * * * * * * * * ** * * * * * * * * * * * * * * **
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $ 134235.50
This notice was prepared and signed at DETROIT, MI
on this,
the 21st day of May
2014
Signature
Title
Operations Manager,
Centralized Case Processing -Lien Unit
(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 1 - RECORDING OFFICE CAT. NO 600261