HomeMy WebLinkAbout12-0733Form 668 M(c)
(Rev. February 2004)
3625
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) 913-6050 846121212
-7
?Z
--
3 3
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
rP9
:- ? ?--'
additional penalties, interest, and costs that may accrue. ?.
, c
Name of Taxpayer WAYNE A KLAWITTER & KAREN L BAKER =
1903 ROXBURY CT
Residence PO BOX 855
MECHANICSBURG, PA 17055-8855 --'
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,
/ SZti _
?- ??.'T
on the day following such date, operate as a certificate of release as defined
i
IRC 6325(
)
n
a
.
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2010
1 XXX-XX-8704 11/28/2011 12/28/2021 7844.48
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 7844.48
This notice was prepared and signed at DETROIT, MI
the 30th day of January 2012
, on this,
Signature Title
REVENUE OFFICER 22-06-1418
for JAKOB PEDERSEN (717) 777-9621
(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 1 - Kept By Recording Office CAT, 668( (Rev. 2-2004)
CAT. NO 60025X
X
11883 Department of the Treasury - Internal Revenue Service
Form 668 (Z)
(Rev. 10-2000) Certificate of Release of Federal Tax Lien
Area: Serial Number For Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 846121212
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 s
additions has been released. The proper officer in the office where the notice of X- :-C-0c n �-
internal revenue tax lien was filed on February 07 D
2012 , is authorized to note the books to show the release of this lien for
these taxes and additions. E
Name of Taxpayer
WAYNE A KLAWITTER & KAREN L BAKER
1903 ROXBURY CT ?
Residence PO BOX 855
°
MECHANICSBURG, PA 17055-8855
COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No.
n/a n/a n/a 12-733 30%y,�7
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 12/31/2010 XXX-XX-8704 11/28/2011 12/28/2021 7844 .48
******** ********** ************* ********** ************ ****************
Place of Filing
Prothonotary
Cumberland County Total $ 7844 .48
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI , on this,
the 2 9 th day of January , 2014 .
Signature Title
Operations Manager
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