HomeMy WebLinkAbout11-7602Form 668 (Y)(c)
(Rev. February 2004)
11883
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
Area: Serial Number
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (800) 829-7650 814357411
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 SUSAN
Residence 115 N 31ST ST
CAMP HILL, PA 17011-2916
For Optional Use by Recording Office
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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, q .6)0 ,,,1
on the day following such date, operate as a certificate of release as defined / r"
in IRC 6325(a). Q of .2 (mil
G. T
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilling of Assessment
(a) (b) (c) (d) (e) (f7
1040 12/31/2001 XXX-XX-6634 08/06/2007 09/05/2017 1173.19
1040 12/31/2002 XXX-XX-6634 08/06/2007 09/05/2017 7905.57
1040 12/31/2003 XXX-XX-6634 08/06/2007 09/05/2017 7346.09
1040 12/31/2004 XXX-XX-6634 08/06/2007 09/05/2017 7698.82
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 24123.67
This notice was prepared and signed at
DETROIT, MI
the 14th 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 1 - Kept By Recording Office CAT. NO 60025X
Form 668 (Z) 4804 Department of the Treasury - Internal Revenue Service
(Rev. 10-2000) Certificate of Release of Federal Tax Lien
Area: Serial Number For Use by Recording Office
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (800) 913-6050 814357411
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 October 05
2011 , is authorized to note the books to show the release of this lien for
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these taxes and additions.
Name of Taxpayer <
SUSAN H HUME r-- -:
Residence 115 N 31ST ST ;
CAMP HILL, PA 17011-2916
COURT RECORDING INFORMATION: Y
Liber Page UCC No. Serial No. 7 f'
n/a n/a n/a 11-7602 ?7??Zlr
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (fJ
1040 12/31/2001 XXX-XX-6634 08/06/2007 09/05/2017 1173.19
1040 12/31/2002 XXX-XX-6634 08/06/2007 09/05/2017 7905.57
1040 12/31/2003 XXX-XX-6634 08/06/2007 09/05/2017 7346.09
1040 12/31/2004 XXX-XX-6634 08/06/2007 09/05/2017 7698.82
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 24123.67
This notice was prepared and signed at DETROIT, MI
, on this,
the 14th day of March 2 012
Signature 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