HomeMy WebLinkAbout11-7066Form 668 (Y)(c)
(Rev. February 2004)
12183
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 812481011
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
Residence 150 WOLF BRIDGE RD
CARLISLE, PA 17013-8905
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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, 100 ,,??
on the day following such date, operate as a certificate of release as defined
in IRC 6325(a). 7' o??y
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2005 XXX-XX-7666 07/18/2011 08/17/2021 3539.22
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
For Optional Use
It - 7064 /7t
Total 1$ 3539.22
This notice was prepared and signed at
DETROIT, MI
the 02nd day of September 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 I - Kept By Recording Office CAT. NO 60025X
11883 Department of the Treasury - Internal Revenue Service
Form 66s (z)
IRev. 10-20001 Certificate of Release of Federal Tax Lien
Area: Serial Number For Use b Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 812481011
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 N
additions has been released. The proper officer in the office where the notice of -
internal revenue tax lien was filed on September 12
2011 , is authorized to note the books to show the release of this lien for jf'_ _, .
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-
these taxes and additions. CD
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Name of Taxpayer -
DAVID M PEFFER r
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Residence 150 WOLF BRIDGE RD
CARLISLE, PA 17013-8905
COURT RECORDING INFORMATION :
Liber Page UCC No. Serial No.
n/a n/a n/a 11-7066FTL a ?r 193
Tax Period Date of Lan Day for V Balance
Kind of Tax Ending Identifying Numbw Asesmmt Re fMft of Agent
a b c d s f
1040 12/31/2005 XXX-XX-7666 1 07/18/2011 08/17/2021 3539.22
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $
This notice was prepared and signed at
the _ 03rd day of October
DETROIT, MI
3539.22
2012,
, on this,
Signature Title
Operations Manager,
Centralized Case Processing-Lien Unit
(NOME: 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