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HomeMy WebLinkAbout11-4180Form 668 (Y)(c) (Rev. February 2004) Department of the Treasury - Internai Revenue Service Notice of Federal Tax Lien Area: Serial Number For Optional Use by Recording Office SMALL BUSINESS/SELF EMPLOYED AREA #2 Lien Unit Phone: (800) 913-6050 781059511. A id ???U s prov ed 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 Rte, -f' a demand for payment of this liability, but it remains unpaid. Therefore, M =C =- there is a lien in favor of the United States on all property and rights to ? -M-•c rr' property belonging to this taxpayer for the amount of these taxes and r,, r ? , additional penalties, interest, and costs that may accrue. t C CZ) Name of Taxpayer JEFFREY C TAYLOR & VALERIE :'OULSON ?? = Residence 1:1.0 PENNSYLVANIA AVE f•3 CAMP HILL, PA 17011-5455 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, h d I ?© ?9 d Z- -2r' on t e ay following such date, operate as a certificate of release as defined •r / f in IRC 6325(a). ,o a51 /? Kind of Tax Tax Period Ending Identifying Number Date of Assessment Last Day for Refliling Unpaid Balance of Assessment (a) (b) (c) (d) (e) (f) 1040 12/31/2007 XXX-XX-7373 08/30/2010 09/29/2020 47670.33 1040 12/31/2008 XXX-XX-7373 08/09/2010 09/08/2020 3311.25 Place of Filing Prothonotary Cumberland County Carlisle, PA 17013 Total 1$ 50981.58 This notice was prepared and signed at DETROIT, MI the 2 - 8th day of April 2011 ----- --- --- , - , on this, Signature Title REVENUE OFFICER 22-06-1418 for JAKOB PEDERSEN (717) 777-9621 (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 CAT. 668( (Rev. 2-2004) CAT. NO 60025X 3460 Department of the Treasury - Internal Revenue Service Form 668 (Z) (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 781059511 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 internal revenue tax lien was filed on May 06 w 2011 , is authorized to note the books to show the release of this lien for C ; , these taxes and additions. Z -g3 =-rk C17 , sit :_ Name of Taxpayer f XW s JEFFREY C TAYLOR & VALERIE COULSON o -4? Residence 110 PENNSYLVANIA AVE "F`° CAMP HILL, PA 17011-5455 : ?r1 COURT RECORDING INFORMATION: SCE ?^ Liber Page UCC No. Serial No. ?? n/a n/a n/a 11-4180 FTL X-77 _2 6 00,2 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 12/31/2007 XXX-XX-7373 08/30/2010 09/29/2020 47670.33 1040 12/31/2008 XXX-XX-7373 08/09/2010 09/08/2020 3311.25 ******** ********** ************* ********** ************ **************** Place of Filing Prothonotary Cumberland County Carlisle, PA 17013 Total 1 $ 50981.58 This notice was prepared and signed at the 11th day of January Signature , on this, Title Director, Campus Compliance Operations (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