HomeMy WebLinkAbout05-0693Form 668 (Y)(c)
(Rev. February 2004)
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax Lien ~ r ` ~ x c ,~~
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #3
Lien Unit Phone: (Boo) 829-3903
210693205
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AS provided by section 6321, 6322, and 6323 of the Internal Revenue 4
Code, we are giving a notice that taxes (including interest and penalties) ~k. /LD 3
have been assessed against the following-named taxpayer. We have made ~~
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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 [he amount of these taxes, and r"~
additional penalties, interest, and costs that may accrue. ~ ~
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Name of Taxpayer TIMOTHY L & JOENE R HERBERT ~
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Residence 1550 WILLIAMS GROVE RD APT 90
MECHANZCSBURG, PA 17055-5348 ~~`~_'
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, r.a
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unless notice of the lien is refiled by the date given in column lel, this notice shall,
on the day following such date, operate as a certificate of release as defined
in IRC 63251a1.
Tax Period Date of Last Dax for Unpaid Balance
Kind of Tax Ending identifying Number Assessment Refilfng of Auessment
a) (b (c) (d) (e) (f)
1040 12/31/2002 175-48-2588 06/09/2003 07/09/2013 4261.39
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
This notice was prepared and signed at
the 25th day of January
PHILADELPHIA, PA
Total ~ $
4261.39
2005
on this,
Signature /' I Title
ACS 23-00-0008
for L LEDER (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. 71-466, 1971 - 2 C.B. 4091
Part 1 -Kept By Recording Office Form 668{Y){c) 1Rev. 2-20041
CAT. NO 60025X
__*__
3 3 55 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 Recordin Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
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hone: (800) 913-6050 210693205 ~
I certify that the following-named taxpayer, under the requirements of section 6325 (a) ~ ~~ ,,~,tJ
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 ~ ~9~.5y3
additions has been released. The proper officer in the office where the notice of
internal revenue tax lien was filed on February 0 8
2 0 0 5 is authorized to note the books to show the release of this lien for
these taxes and additions. rv
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Name of Taxpayer '~~ f' ~,: ---~
TIMOTHY L & JOENE R HERBERT `~ =c n
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Residence 15 5 0 WILLIAMS GROVE RD APT 9 0 - -'~ -
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MECHANICSBURG, PA 17055-5348 ~;. „
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COURT RECORDING INFORMATION: ~..
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Liber Page UCC No. Serial No. /
n/a n/a n/a 05-693 FTL f
Tax Period Date of last Dayy for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(aJ (bl (cJ (dl (eJ (fJ
1040 12/31/2002 175-48-2588 06/09/2003 07/09/2013 4261.39
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 4 2 61, 3 9
This notice was prepared and signed at DETROIT, MI
the 25th day of April ~ 2007 ,
Signature
on this,
Title Director, Campus Compliance
Operations
(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 1 -RECORDING OFFICE CAT. NO 600261