HomeMy WebLinkAbout11-3700Form 668 MW
(Rev. February 2004)
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
Area: Serial Number For options
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone:, (800) 913-6050 774622211
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
property belonging to this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs that may accrue.
Name of Taxpayer DAVID S BISHOP
Residence 899 OLD SILVER SPRING RD
MECHANICSBURG, PA 17055-2884
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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, j 9 OG? F? T
on the day following such date, operate as a certificate of release as defined
m IRC 6325(a). r?5 65- -;L
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 12/31/2008 XXX-XX-6435 06/01/2009 07/01/2019 2030.96
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Use by Recording Office
J - 3 7170 f= 7-z-
Total 1$ 2030.96
This notice was prepared and signed at
the 08th day of April
DETROIT, MI
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
Form 668 (Z) 3756 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: (8100) 913-6050 774622211
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 (leased. The proper officer in the office where the notice of
internal revenue tax(lien was filed on April 18 ;:Z
2 011 , is authorized to note the books to show the release of this lien for Zr-
these taxes and additlions. m7D
Name of Taxpayer ,.."
DAVID S BISHOP < ]; -
C
Residence899 OLDSILVER SPRING RD ...
MECHANtCSBURG, PA 17055-2884
COURT RECORDING INFORMATION: T-
Liber Page IUCC No. Serial No. /a
n/a n/a n/a 2011-03700
Kind of Tax T IPeriod
kOding
Identifying Number Date of
Assessment Last Dayy for
Refiling Unpaid Balance
of Assessment
(a1 bl (c) id) (e1 (fl
1040 12/311/2008 XXX-XX-6435 06/01/2009 07/01/2019 2030.96
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ • 2030.96
This notice was prepared and signed at
the 16th day: of May
Signature
(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
DETROIT, MI
2012
, on this,
Title
Operations Manager,
Centralized Case Processing-Lien Unit