HomeMy WebLinkAbout05-1376
1872
Department of the Treasury - Internal Revenue Service
form 668 (Y)( c) Notice of Federal Tax Lien
(Rev, Februarv 2004)
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #3 or - IJ1/s:, ~
Lien Unit Phone: (800) 829-3903 215993605
As provided by section 6321, 6322, and 6323 of the Internal Revenue -1/4.66 peL
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the fOllowing-named taxpayer. We have made el~ o.i-3
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 R~ IL.J?D~
additional penalties, interest, and costs that may accrue. f"~)
('-~J
Name of Taxpayer GARICK A BARRETT ,'...., ':--l
-"~
- .
, >"
.
Residence ....,
5894 WHITE CHURCH RD COt
SHIPPENSBURG, PA 17257-9238
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 c..,,~
in IRe 63251al.
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 12/31/2001 594-34-5742 09/01/2003 10/01/2013 3877.32
1040 12/31/2002 594-34-5742 11/03/2003 12/03/2013 1904.80
1040 12/31/2003 594-34-5742 11/15/2004 12/15/2014 1319.80
Place of Filing
Prothonotary
Cumberland County Total $ 7101.92
Carlisle, PA 17013
This notice was prepared and signed at
PHILADELPHIA, PA
. on this,
the
25th day of February
2005
for L LEDER
Title
ACS
(800) 829-3903
23-00-0008
Signature
(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)
Part t - Kept By Recording Office
Fo'm 668(Y)(c) IRev. 2-20041
CAT. NO 60025X
--*-- 1872 Department of the Treasury - Internal Revenue Service
Form 668 (Z) Certificate of Release of Federal Tax Lien /
(Rev. 10-2000)
Area: Serial Number For Use bv ~ Recordina Office
SMALL BUSINESS/SELF EMPLOYED AREA #2 1d.10f & f. /1'0
Lien Unit Phone: (800) 913-6050 215993605
I certify that the following-named taxpayer. under the requirements of section 6325 (, ue.. /S g7
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 /2..... /713f3
additions has been released. The proper officer in the office where the notice of
internal revenue tax lien was filed on March 16 "",.
2005 C::J C)
, is authorized to note the books to show the release of this lien for ; ~~~) ,1
c;;:..
these taxes and additions. - ::::1
_J,L.
, ;'';If"D
Name of Taxpayer -,
I In
GARICK A BARRETT w c
-~
, ,',
-n -',-,
"..- ...
-~ -'-:("5"
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Residence 5894 WHITE CHURCH RD N ..,::5I'";"i
SHIPPENSBURG, PA 17257-9238 ~J.;~
"-' ~D
C) .-<
COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No.
n/a n/a n/a 05-1376 FTL
Tax Period Date of Last D;r. for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment RefI ng of Assessment
(a) (b) (c) (d) (a) (f)
1040 12/31/2001 594-34-5742 09/01/2003 10/01/2013 3877.32
1040 12/31/2002 594-34-5742 11/03/2003 12/03/2013 1904.80
1040 12/31/2003 594-34-5742 11/15/2004 12/15/2014 1319.80
******** ********** ************* **********~ ************ ****************
Place of Filing
Prothonotary
Cumberland County Total $ 7101.92
Carlisle, PA 17013
This notice was prepared and signed at
DETROIT, MI
,on this,
the
05th day of April
2006
Signature
Title Direct<?r, Campus Compliance
Operatlons
(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 t - RECORDING OFFICE
Form 668 (Z) IRev. 10.20001
CAT. NO 600261