HomeMy WebLinkAbout11-77291883
Form 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 818720811
7
As provided by section 6321, 6322, and 6323 of the Internal Revenue 7 ),:q;
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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.
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Name of Taxpayer J MICHAEL ADLER --A _TJ
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Residence
2 915 ENOLA ROAD y=am' -D
CARLISLE, PA 17015-9542 =,
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IMORTANT RELEASE INFORMATION: For each assessment listed below,
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unls 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
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in IRC 6325(a).
Tax Period Date of Last Dayy for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) M
6672 06/30/2009 XXX-XX-8246 02/28/2011 03/30/2021 4337.30
6672 09/30/2009 XXX-XX-8246 02/28/2011 03/30/2021 8756.78
6672 12/31/2009 XXX-XX-8246 02/28/2011 03/30/2021 7989.74
6672 03/31/2010 XXX-XX-8246 02/28/2011 03/30/2021 8694.10
Place of Filing
Prothonotary
Cumberland Country
Carlisle, PA 17013
Total 1 $ 29777.92
This notice was prepared and signed at
DETROIT, MI
the 04th day of October 2011
, on this,
Signature Title
REVENUE OFFICER 22-06-1407
for SEAN DUNLEAVY (717) 777-9626
(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) 8
Department of the Treasury - Internal Revenue Service
Part 1 - Dept By Recording Office Form 66 (Y)(c) (Rev. 2-20041
CAT. NO 60025X
4804 Department of the Treasury - Internal Revenue Service
Form 20916(c) Withdrawal of Filed 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 818720811
1 certify that the followir-named taxpayer has met one or more of the elements
of the Internal Revenue Code (IRC) section 6323
(j). The Internal Revenue Service
therefore withdraws the Notice of Federal Tax Lien for these taxes and additions
.
The withdrawal of this notice of lien does not affect the statutory lien provided
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by IRC section 6321; it simply relinquishes any lien priority obtained by the Internal
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Revenue Service when the notice was filed. The proper official, in the office where
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ce of Federal Tax Lien was filed on October 12, 2011
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is authorised to update the records to show t withdrawal t notice o 1 en --a c:)
for these taxes and additions.
Name of Taxpayer ?
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J MICHAEL ADLER ??
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Residence 2 915 ENOLA ROAD --
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CARLISLE, PA 17015-9542
COURT RECORDING INFORMATION:
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age
No. Serial No.
n/a n/a n/a 11-7729 FTL
Kind of Tax Tax Period
Ending
Identifying Number Date of
Assessment Last Day for
Refiling Unpaid Balance
of Assessment
(al (b) (C) (d (a) M
6672 06/30/2009 XXX-XX-8246 02/28/2011 03/30/2021 4337.30
6672 09/30/2009 XXX-XX-8246 02/28/2011 03/30/2021 8756.78
6672 12/31/2009 XXX-XX-8246 02/28/2011 03/30/2021 7989.74
6672 03/31/2010 XXX-XX-8246 02/28/2011 03/30/2021 8694.10
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 29777.92
This notice was prepared and signed at
the 18th day of April
DETROIT, MI
2012
, on this,
Signature Title
Operations Manager,
Centralized Case Processing-Lien Unit
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Cat. No. 24586T Part 1 - Recording Office Form 10916(c) (Rev. 10-2000)