HomeMy WebLinkAbout04-4739
1872
Department of the Treasury - Internal Revenue Service
Form 668 (Y)( c)
(Rev. February 2004)
Notice of Federal Tax Lien
IU, () '1- </7J 1 FTL
For Optional Use by Recording Office
Area: Serial Number
WAGE & INVESTMENT AREA #2
Lien Unit Phone: (800) 829-7650 188604904
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 KEITH L BETZ
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400 N WALNUT ST
MECHANICSBURG, PA 17055-3384
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,
on the day following such date, operate as a certificate of release as defined
in IRC 6325(a).
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Kind of Tax
(a)
1040
Tax Period
Ending
(b)
12/31/2000
Identifying Number
(c)
167-48-1424
Date of
Assessment
(d)
06/23/2003
Last Day for
Reflllng
(e)
07/23/2013
Unpaid Balance
of Assessment
(f)
5004.79
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $
5004.79
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the
25th day of August
2004
Sig~re
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Title
ACS
(800) 829-7650
12-00-0000
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien
Rev. Ru!' 71-466, 1971 - 2 C.B, 4091
Pare: 1 - Kept By Rec:ordlng Office
Form 668(Y)(c) (Rev. 2,20041
CA T. NO 60025X
~
--*--
3355
Department of the Treasury - Internal Revenue Service
Certificate of Release of Federal Tax. Lien
Form 668 (Z)
(Rev. 10-2000)
1BB604904
For Use by Recording Office
Ii P -4/( C' /'. rro
Area:
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (BOO) 913-6050
Serial Number
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 September 21
2004 ,is authorized to note the books to show the release of this lien for
these taxes and additions.
CJz. /.) 313
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COURT
Liber Page UCC No.
n/a n/a n/a
Tax Period
Kind of Tax Ending Identifying Number
(a) (b) (e)
1040 12/31/2000 167-48-1424
********k************************
RECORDING INFORMATION:
Serial No.
N004-4739FTL ;/
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= 0
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Name of Taxpayer
KEITH L BETZ
Residence 400 N WALNUT ST
MECHANICSBURG, PA 17055-3384
Date of Last Day for
Assessment Refillng
(d) (6)
06/23/2003 07/23/2013
***********************
Unpaid Balance
of Assessment
(f)
5004.79
****************
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $
5004.79
This notice was prepared and signed at
DETROIT, MI
, on this,
the
14 th day of March
2007
Signature
Title Direct9r, Campus Compliance
Operatlons
(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. Ru!. 71-466.1971 - 2 C.B. 409)
Part t . RECORDING OFFICE
Form 668 (Z) (Rev. 10-2000)
CAT. NO 600261