HomeMy WebLinkAbout04-5370
1872
Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Uen
IRev. February 20041 ~04- 5370 F'rL
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #3 r.: Pll'I'f-OO
Lien Unit Phone: (800) 829-3903 193468704
As provided by section 6321, 6322, and 6323 of the Internal Revenue Ck. 935
Code, we are BIvin, a notke that taxes (Includln,lnterest and penalties) .e.... /:,1-'7<17
have been assessed splnst the followlnl"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 andrl,hts to
property belonlln, to this taxpayer for the amount of these taxes, and n "..'
additional penalties, Interest, and costs that may accrue. C" c.,
, . .;
.-
Name of Taxpayer DARRON G JUDY . , .._I
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.- ;.i
r."l '.
Residence (..
1219 OLD WILLOW MILL RD 0..
MECHANICSBURG, PA 17050-1805 ... -
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, -'" , .
-'
unless notice of the lien is refiled bv the date given in column lei, this notice shall, ---
on the day following such date, operate as a certificate of release as defined
in IRe 63251al.
Tax Period Date of Last ~for Unpaid Balance
Kind of Tax Endln, Identlfyln, Number Assessment ReD , of Assessment
(a) ("l (c) (d) <e) m
1040 12/31/2001 203-48-1438 03/29/2004 04/28/2014 276.26
Place of Filing
Prothonotary
Cumberland County Total $ 276.26
Carlisle, PA 17013
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
24th day of September, 2004
,
Signature ~ .:;. rf-J..
, lV'vllt:~..e.:.
for L LEDER
the
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Title
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"(800)
23-00-0008
h
(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.8. 4091
829-3903
Pan I - Kept By Recordlnll Offtce
Form 668(Y)(c) IRev_ 2-20041
CAT_ NO 60025X
Form 668 (Z)
1872
Department of the Treasury - Internal Revenue Service
Certificate of Release of Federal Tax Lien
(Rev. 10-2000)
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 October 26
2 004 I is authorized to note the books to show the release of this lien for
these taxes and additions.
For Use by Recordin Office
r?cl. ;21)/ F Y t'!J
ut /3/f
/~. I 1.4 'tJ I
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #3
Lien Unit Phone: (412) 395-5265 193468704
Liber
n/a
Page
n/a
COURT
UCC No.
n/a
RECORDING INFORMATION:
Serial No.
04-5370 FTL /
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C:::J C'
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en . ,
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Name of Taxpayer
DARRON G JUDY
Residence1219 OLD WILLOW MILL RD
MECHANICSBURG, PA 17050-1805
Tax Period Date of Last Dal. for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refi Ing of Assessment
la) Ib) Ie) Id) Ie) If)
1040 12/31/2001 203-48-1438 03/29/2004 04/28/2014 276.26
******** ********** ************* ********** ************ ****************
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $
276_26
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the
11th day of May
2005
Signature
Title Director, Payment Compliance
(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)
Part I - RECORDING OFFICE
Form 668 (Z) IRev. 10-20001
CAT. NO 600261