HomeMy WebLinkAbout11-6842Form 668 (Y)(c)
(Rev. February 2004)
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 809400911
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 t-) c
property belonging to this taxpayer for the amount of these taxes, and c ° -n
additional penalties, Interest, and costs that may accrue.
M
Name of Taxpayer DENNIS L & KARIN M BURD M G) -O
W Mm
-
X
p
Residence 651 PHEASANT RUN RD Cj
*C-) x
=3W O-rt
HUMMELSTOWN, PA 17036-8502 ?C rn
z y
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,
on the day following such date, operate as a certificate of release as defined 7'
in IRC 6325(a). IC f
Tax Period Date of Last Dayx for Unpa id Balance
Kind of Tax Ending Identifying Number Assessment Reflling of Assessment
(a) (b) (c) (d) (e) M
1040 12/31/2007 XXX-XX-7699 09/27/2010 10/27/2020 169091.19
1040 12/31/2008 XXX-XX-7699 10/25/2010 11/24/2020 37449.26
1040 12/31/2009 XXX-XX-7699 09/06/2010 10/06/2020 55285.74
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 261826.19
This notice was prepared and signed at
the 22nd day of August
Signature
DETROIT, MI
2011
Title
ADVISOR
, on this,
22-97-6928
for B. CLARK 1 (814) 453-4615
(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)
Department of the Treasury - Internal Revenue Service
Form 668(Y)(c) (Rev. 2-2004)
Part 1 -Kept By Recording Office CAT. NO 60025X
Form 669-B Department of the Treasury - Internal Revenue Service
(September 2008) Certificate of Discharge of Property From Federal Tax Lien
(Section 6325(b)(2)(A) of the lntemal Revenue Code)
DENNIS L & KARIN M BURD of 651 PLEASANT RUN ROAD, City of HUMMELSTOWN, County of Dauphin County, State of
PENNSYLVANIA, is indebted to the United States for unpaid internal revenue tax in the sum of Seven Hundred Seventy Nine
Thousand Fifty Six 14/100 Dollars ($779,056.14) as evidenced by:
Notice of Federal
Tax Lien
Serial Number
(a)
Recording Information
(b)
Date Recorded
(c)
Taxpayer Identification Number
(d)
Amount Shown on Lien
(e)
400925907 0706726 11/06/2007 xxx-xx-7699 $221,685.91
572696909 09-5824-FTL 08/24/2009 xxx-xx-7699 $121,391.55
809400911 11-6842-FTL 08/31/2011 xxx-xx-7699 $261,826.19
A lien attaching to all the property of the taxpayer was filed to secure the amount owed. The notice of lien was filed with the
Prothonotary, for the County of Cumberland, in accordance with the applicable provisions of law.
The lien listed above is attached to certain property described as:
Dennis L. Burd's 33 1/3% interest in the partnership known as Burd, Lebo & Reed R. E. Partnership, EIN # 25-1594561,
which has an address of 250 Union Church Road, Dillsburg, PA 17019.
$S.oo PD Rnb 4)14 QSchracl-TS
cj-
a_ ?? ?* syg7
?? ? Q? ?? acos?5
cc
NOTE: Always include the address of real property or a descriptive narrative of personal property in this section when using
"See Attachment" and a more detailed description is being attached.
The Internal Revenue Service acknowledges receipt of One Hundred Eighty Thousand 00/100 dollars ($180,000.001, the
internal Revenue Service discharges the above described property from the lien. However, the lien remains in effect for all
other property, o rights to property, to which the lien is attached.
Date
(Note: Certificate of officer authorized by law to take acknowledgements is not essential to the validity of Discharge of
Federal Tax Lien. Rev. Rul. 71-4661 1971-2, C.B. 409.)
Catalog No. 16751 C Form 669-6 (Rev. 9-2008)