HomeMy WebLinkAbout04-4241Form 6&8 (¥)(¢)~artment of the Treasury - Internal Revenue Service
(.ev. February 2004) ~
Notice of Federal Tax Lien
Area:
WAGE & I]Nq;ESTMENT AREA #2 ~mber
Lien Unit Phone: (80O) 829-7650
18736240~
-~ provided by section 6321, 6322, and 6323 of the Interna'-~ Revenu~-'-~'
Code, we are giving a notice thac Uxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made
a demand for paymem of CMs IJabriJty, but it remains unpaid. Therefore,
there is a lien in favor of the United States on all property and rights to
property belonging to Chis taxpayer for the amount of these taxes, and
additional penakies, interest, and costs Char may accrue.
Name of Ta~
Residence
713 GRAHMs WOOD RD
NEWVILLE, PA 17241-9716
II'IPORTANT RELEASE INFORMATION: For each assessment listed belov
unless notice of the lien is refiled by the date given in column (e), this notice shall,
on the day following such date, operate aa a certificate of release as defined
in IRC 6325(a).
Kind of Tax Tax Period
Ending Date of
Assessment
1040 12/31/1996 190-58-2813
1040 12/31/2001 190-58-2813
1040 12/31/2002 190-58-2813
09/29/2002
10/27/2003
09/22/2003
Last Day for
Retiring
10/29/2013
11/26/2013
10/22/2013
//3 /
Unpaid Balance
of Assessment
4299.15
660.29
1341.05
Place of Fi~ing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total
6300.49
This notice was prepared and signed at
the 18th_ day of August
Sig[~ture
2004
PHILADELPHIA, PA
, on this,
f~r]p S L~i~~ 12-00-0000
~ 829-7650
(NOTE: Certificate of officer authorized by law to take acknowJedgment is not essential to the vapidity of Notice of }federal Tax rien
Rev. RuL 71 466, 1971 - 2 c.e. 409)
Part ( - Kept By Recording Office Form 668(Y)(c) (Rev. 2-2004)
CAT. NO 60025×
--* 4804
(Rev. 10-2000) Department of the Treasury - Internal Revenue Service
Form 668 (Z)
Certificate of Release of Federal Tax Lien
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 187362404
I 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 August 25
2004 , is authorized to note the books to show the release of this lien for
these taxes and additions.
Name of Taxpayer
SAMUEL E NEIDIGH
Residence 713 GRAHMS WOOD RD
NEWVILLE, PA 17241-9716
COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No.
n/a n/a n/a 04-4241-FTL
For Use
ffice
C
>r. rp r?
> C.:: co
<..n
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilling of Assessment
(a) (ib) (C (d) (e) (f)
1040 12/31/1996 XXX-XX-2813 09/29/2003 10/29/2013 4299.15
1040 12/31/2001 XXX-XX-2813 10/27/2003 11/26/2013 660.29
1040 12/31/2002 XXX-XX-2813 09/22/2003 10/22/2013 1341.05
******** ********** ************* ********** ************ ****************
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 6300.49
This notice was prepared and signed at _ DETROIT, MI
the 20th day of June 2012
, on this,
Signature Title
Operations Manager,
Centralized Case Processing-Lien Unit
(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