HomeMy WebLinkAbout11-44013625 Department of the Treasury - Internal Revenue Service
Form 668 (Z) Certificate of Release of Federal Tax Lien
(Rev. 10-2000)
Serial Number For Use by Recording Office
Area:
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 784253411
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 17
is authorized to note the books to show the release of this lien for
2011 te'
, <.0
these taxes and additions.
Name of Taxpayer
THEDA R SEYBOLD DECEASED =
Residence 6 FARM HOUSE LANE
CAMP HILL, PA 17011-8349
COURT RECORDING INFORMATION : T
Liber Page UCC No. Serial No.
'FTL n
n/a n/a n/a 11
Tax Period ,r /- 4'VV i
Date of
Last Day for
Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Reffling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2008 XXX-XX-7717 07/12/2010 08/11/2020 875.40
******** ********** ************* ********** ************ ****************
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 875.40
This notice was prepared and signed at DETROIT, MI
, on this,
the 01st day of February , 2012
Signature
Title Director, Campus Compiiance
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