HomeMy WebLinkAbout12-7442Form 668 (Y)(c)
(Rev. February 2004)
4804
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax Lien
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050_
For Ootionaf Use
909614212 /~ _ 'J~ f[~~
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 DAVID
Residence 507 16TH ST
NEW CUMBERLAND, PA 17070
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Office
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IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice of the lien is refiled by the date given in column (el, this notice shall, ~,,/
on the day following such date, operate as a certificate of release as defined `'7~ "s ~ /~^ C ' T
in IRC 6325(a1. ~-~ ~~~G'~
Tax Period Date of Last Dayy for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Reflling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2003 XXX-XX-6987 03/15/2004 04/14/2014
1040 12/31/2003 XXX-XX-6987 12/12/2005 01/11/2016 820.55
1040 12/31/2004 XXX-XX-6987 11/30/2009 12/30/2019 12363.81
1040 12/31/2006 XXX-XX-6987 11/30/2009 12/30/2019 16148.45
1040 12/31/2008 XXX-XX-6987 02/23/2009 03/25/2019
1040 12/31/2008 XXX-XX-6987 01/10/2011 02/09/2021 2609.46
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 31942.27
This notice was prepared and signed at
DETROIT, MI
the 04th day of December 2 012
on this,
Signature Title
~\~~~~~ REVENUE OFFICER 22-06-1407
for SEAN DUNLEAVY (717) 777-9626
(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
__*__
Form 668 (Z)
(Rev. 10-2000)
4806 Department of the Treasury - Internal Revenue Service
Certificate of Release of Federal Tax Lien
Area:
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050
Serial Number
909614212
For Use by Recording Office
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 December 11
2012
, is authorized to note
the books to show the release of this lien for
these taxes and
additions.
._ _ . ., _
Name of Taxpayer
.,,
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DAVID MORRISON
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Residence507 16TH ST
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NEW CUMBERLAND, PA 17070
COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No.
sr:
9..0
n/a n/a n/a 12-7442FTL
et* 3/52,
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
12/31/2003
XXX -XX -6987
03/15/2004
04/14/2014
1040
12/31/2003
XXX -XX -6987
12/12/2005
01/11/2016
820.55
1040
12/31/2004
XXX -XX -6987
11/30/2009
12/30/2019
12363.81
1040
12/31/2006
XXX -XX -6987
11/30/2009
12/30/2019
16148.45
1040
12/31/2008
XXX -XX -6987
02/23/2009
03/25/2019
1040
12/31/2008
XXX -XX -6987
01/10/2011
02/09/2021
2609.46
*******
**********
**********
***********
*********************
Place of Filing
Prothonotary
Cumberland County Total
$ 31942.27
Carlisle, PA 17013
MI
This notice was prepared and signed at DETROIT, , on this,
the
30th day of December , 2014.
Signature
epv-40A,
Title Director, Specialty Collections
(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) Form 668 (Z) (Rev. 10-2000)
Part I - RECORDING OFFICE CAT. NO 600261