HomeMy WebLinkAbout12-2128Form 668 (Y)(c)
(Rev. February 2004)
5219
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 857402812
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, 77
there is a lien in favor of the United States on all property and rights to M ^`'r=
property belonging to this taxpayer for the amount of these taxes, and =
additional penalties, interest, and costs that may accrue.
Name of Taxpayer PRESTON E & KAREN L WARD
C.P
Residence 1857 SHEEPFORD RD
MECHANICSBURG, PA 17055-6737
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)
?3
.
Tax Period Date of Last Dayy for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2010 XXX-XX-3868 12/05/2011 01/04/2022 13729.23
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 13729.23
This notice was prepared and signed at DETROIT, MI
the 27th day of March 2012
, on this,
Signature Title
22[r REVENUE OFFICER 22-06-1411
for DREW N DELENICK _45t (717) 777-9619
(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) Form 668(Y)(c) (Rev. 2-2004)
Part 1 -Kept By Recording Office CAT. NO 60025X
4804 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 857402812
1 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 April 04
2012
is authorized to note the books to show the release of this lien for
,
these taxes and additions. J
;?•-?
:
-
U.) ? --
Name of Taxpayer -G ^, --?
PRESTON E & KAREN L WARD r---.
:;:Z_ c:; ;
t
Residence 1857 SHEEPFORD RD -
MECHANICSBURG, PA 17055-6737
COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No.
n/a n/a n/a 12-2128-FTL
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-3868 12/05/2011 01/04/2022 13729.23
******** ********** ************* ********** ************ ****************
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 13729.23
This notice was prepared and signed at
the 02nd day of May
DETROIT, MI
2012
on this,
49.50 PO pLFF
e1r
W d1 533.(v
Signature OpTitle
erations 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 I - RECORDING OFFICE CAT. NO 600261