HomeMy WebLinkAbout05-0694I 1O Department of the Treasury - Internal Revenue Service
Form 668 (2)04)
(Rev. February 20041 Notice of Federal Tax Lien
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #3
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Lien Unit Phone: (800) 829-3903 21
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As provided by section 6321, 6322, and 6323 of the Internal Revenue Ge- /UZj
Code, we are giving a notice that taxes (including interest and penalties)
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have been assessed against the following-named taxpayer. We have made / 14b
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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 the amount of these taxes, and
additional penalties, interest, and costs that may accrue.
Name of Taxpayer TIMOTHY L HERBERT
Residence 1550 WILLIAMS GROVE RD APT 90 cL
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MECHANICSBURG, PA 17055-5348 '
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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 (e), this notice shall,
on the day following such date, operate as a certificate of release as defined
in IRC 6325(a).
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refihng of Assessment
(a) (b) (c) (d) e) (f)
1040 12/31/2003 175-48-2588 05/24/2004 06/23/2014 1872.60
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
This notice was prepared and signed at
PHILADELPHIA, PA
Total 1 $
1872.60
the 25th day of January 2005
, on this,
Signature f 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. 409) Form 668(Y)(c) (Rev. 2-2004)
Part 1 - Kept By Recording Office CAT. NO 60025X
Form 668 (Z)
(Rev. 10-2000)
4805 Department of the Treasury - Internal Revenue Service
Certificate of Release of Federal Tax Lien
Area: Serial Number For Use by Recordin g Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 210693105 OO
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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 a Gam
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additions. Therefore, the lien provided by Code section 6321 for these taxes and C3
additions has been released. The proper officer in the office where the notice of
internal revenue tax lien was filed on February 08
2005 , is authorized to note the books to show the release of this lien for
these taxes and additions.
Name of Taxpayer v a
TIMOTHY L HERBERT 1
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Residence1550 WILLIAMS GROVE RD APT 90 rr'
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MECHANICSBURG, PA 17055-5348 ??
COURT RECORDING INFORMATION:
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Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiiing of Assessment
(a) b c) d e (f
1040 12/31/2003 175-48-2588 05/24/2004 06/23/2014 1872.60
******** ********** ************* ********** ************ ****************
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 1872.60
This notice was prepared and signed at
the 05th day of December
Signature
DETROIT, MI
2007,
, 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