HomeMy WebLinkAbout11-6843Form 668 (Y)(c)
(Rev. February 2004)
11883
Department of the Treasury - Internal 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) 829-3903 809487611
As provided by section 6321, 6322, and 6323 of the Internal Revenue `f? TG
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 v 'n
property belonging to this taxpayer for the amount of these taxes, and rrnw wo =--n
additional penalties, interest, and costs that may accrue. z r-
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Name of Taxpayer KEITH A SULTZBAUGH -?<> Ca b .
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Residence 906 HUMMEL AVE 7
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LEMOYNE, PA 17043-1737 ? y
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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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date, operate as a certificate of release as defined
in IRC 6325(a). S CE
Tax Period Date of Last Dayy for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2003 XXX-XX-9762 02/28/2011 03/30/2021 1274.07
1040 12/31/2008 XXX-XX-9762 02/07/2011 03/09/2021 3320.31
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 4594.38
This notice was prepared and signed at
the 23rd day of August
DETROIT, MI
2011
, on this,
Signature Title
ACS SBSE 22-00-0001
for FRED BANKS -46914, (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)
Part I - Kept By Recording Office Form 668(Y)(c) (Rev. 2-2004)
CAT. NO 60025X
Form 669-B Department of the Treasury—Internal Revenue Service
(September 2008) Certificate of Discharge of Property From Federal Tax Lien
I (Section 6325(b)(2)(A)of the Internal Revenue Cods)
KEITH A SULTZBAUGH of 906 HUMMEL AVE, City of LEMOYNE, County of CUMBERLAND, State of PENNSYLVANIA, is
indebted to the United States for unpaid internal revenue tax in the sum of One hundred twelve thousand, one hundred fifty-five and
thirty-five hundredths Dollars ($112,155.35)as evidenced by:
Notice of Federal
Tax Lien
Serial Number Recording Information Date Recorded Taxpayer Identification Number Amount Shown on Lien
(a) (b) (c) -(d) (e)
653020810 10-3209FTL 05/14/2010 xxx-xx-9762 $171,504.46
809487611 11-6843FTL 08/31/2011 xxx-xx-9762 $4,594.38
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A lien attaching to all the property of the taxpayer was filled to secure the amount owed. The notice of lie7f was filed"with the
Prothonotary,for the County of Cumberland, PA in accordance with the applicable provisions of law.
The lien listed above is attached to certain property described as:
ALL THAT CERTAIN Lot of ground situate in the Borough of Lemoyne, County of
Cumberland, and Commonwealth of Pennsylvania, more particularly bounded and described as follows:
BEING Lot No.2, Section "F", in Plan of Lots known as Plan No. 1, Riverton,
Pennsylvania, The said Plan being recorded in the Office of the Recorder of Deeds in and For Cumberland County,
aforesaid, at Carlisle, in Deed Book "J", Volume 4, Page 40.
am.*,p 19 7 4
THE said Lot No.2, Section "17",fronting thirty-five(35)feet on the south side of &
Hummel Avenue and extending back an even width one hundred thirty-one and forty-six
one-hundredths(131.46)feet to a 15 feet wide alley.
BEING improved by a two and one-half story brick dwelling house known as 906 Hummel Avenue.
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 Forty thousand,five hundred fifty-three and fifty-six hundredths
dollars ($40,553.561, the Internal Revenue Service discharges the above described property from the lien. However, the
lien remains in effect for all other property, or rights to property,to which the lien is attached.
Signature Title Date
JOANNE NEMMER ADVISORY GRP MGR
(Note: Certificate of officer authorized by law to take acknowledgements; is not essential to the validity of Discharge of
Federal T`ixLje�. Rev. Rul. 71-466, 1971-2, C.S. 409.)
Catalog No. 16751C Form 669-8(Rev. 9-2008)