HomeMy WebLinkAbout12-1543 3756
Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c)
Notice of Federal Tax Lien
(Rev. February 2004)
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (80(3) 829-3903 852947012
13
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including interest and penalties) c?s
have been assessed against the following-named taxpayer. We have made -- -?
a demand for payment of this liability, but it remains unpaid. Therefore, =Z
there is a lien in favor of the United States on all property and rights to
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property belonging to this taxpayer for the amount of these taxes, and cn? 1 ` CD
additional penalties, interest, and costs that may accrue.
Name of Taxpayer SCOTT D FROCK Y c-a w-
C:
Residence 3 712 LISBURN RD
MECHANICSBURG, PA 17055-6709
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, ?j,El L . T
on the day following such date, operate as a certificate of release as defined
in IRC 6325(
)
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7 ?
a3Y
a
. ,,
Tax Period Date of Last Da for
L Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Rer
g of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2007 XXX-XX-2677 03/14/2011 04/13/2021 36823.59
1040 12/31/2008 XXX-XX-2677 11/28/2011 12/28/2021 52604.58
1040 12/31/2008 XXX-XX-2677 11/28/2011 12/28/2021
1040 12/31/2009 XXX-XX-2677 11/28/2011 12/28/2021 6869.79
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 96297.96
This notice was prepared and signed at DETROIT, MI
the 02nd day of March 2012
, on this,
Signature Title
etc` ACS SBSE 22-00-0001
for FRED BANKS (800) 829-3903
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien
Rev. Rul_ 71-46B 1971 - 9 r R 409)
Form 668(Y)(c) (Rev. 2-2004)
Part 1 - Kept By Recording Office CAT. NO 60025X
11883 Department of the Treasury -Internal Revenue Service i
~~
Form 668 (Z) Certificate of Release of Federal Tax Lien ~~
(Rev. 10-20001
Serial Number For Use by, Recordin ffice
Area:
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 852947012
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 =~
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:
internal revenue tax lien was filed on March 09
,,.cam N ~
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2 012 is authorized to note the books to show the release of this lien for ~~ ~ ~ ~..='
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these taxes and additions. ~
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Name of Taxpayer -<~ '~ -~'~~`
SCOTT D FROCK ~~ y, n-r`;
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Residence 3712 LISBURN RD ==~ rn a-
MECHANICSBURG, PA 17055-6709
COURT RECORDING INFORMATION: l~~~p~- L%,
Liber Page UCC No. Serial No.
~ a~~y>o
n/a n/a n/a 12-1543
Tax Period Date of Last pp,,~~yy for tJnplaid Ba nce
Kind of Tax Ending Identifying Number Assessment RefMing of Assess nt
a) b c) d • f
1040 12/31/2007 XXX-XX-2677 03/14/2011 04/13/2021 36 23.59
1040 12/31/2008 XXX-XX-2677 11/28/2011 12/28/2021 52 04.58
1040 12/31/2008 XXX-XX-2677 11/28/2011 12/28/2021
1040 12/31/2009 XXX-XX-2677 11/28/2011 12/28/2021 6 69.79
******** ********** ************* ********** ************ ********* ******
Place of Filing
Prothonotary
Cumberland County Total $ 962 97.96
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI , on this,
the 08th day of August ~ 2012
Signature
~~~-~C,,,~,,~ Title
Operations Manager,
Centralized Case Processing-Lie Unit
(NOTE: Certificate of officer authorized by law to take acknowledgments is not essential to the validity of Certificate of Relea a of
Federal Tax lien Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 668 (~) (Rev. 10-2 001
Part 1 -RECORDING OFFICE
CAT. NO 60 61