HomeMy WebLinkAbout05-1378
1872
Department of the Treasury - Internal Revenue Service
Fonn 668 (Y)( c) Notice of Federal Tax Lien
IRev. February 2004)
Area: Serial Number For Optional Use by Recording Office
WAGE & INVESTMENT AREA #2 J2/L...
Lien Unit Phone: (800) 829-7650 216565705 O~ - /]1;
As provided by section 6321, 6322, and 6323 of the Internal Revenue ?/I..J,DO ?cL
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, C~ I Jl_J
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=#:-- /1.,/9/ ^-
additional penalties, interest, and costs that may accrue.
Name of Taxpayer ANN BARR ,..,..,
-' .::-..:.>
,...J.'
Residence 6996 WERTZVILLE RD
,.<..
MECHANICSBURG, PA 17050-1540 c'
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 fol/owing such date, operate as a certificate of release as defined (.'''1-
in IRe 6325(a\. ~,
Tax Period Date of Last D~y for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refihng of Assessment
(a) (b) (c) (d) (e) (f)
CIVP 09/30/2001 166-48-7428 06/07/2004 07/07/2014 757,20
CIVP 12/31/2001 166-48-7428 06/07/2004 07/07/2014 8,94
CIVP 03/31/2002 166-48-7428 06/07/2004 07/07/2014 1911.23
CIVP 06/30/2002 166-48-7428 06/07/2004 07/07/2014 3349.13
CIVP 09/30/2003 166-48-7428 07/26/2004 08/25/2014 5085,28
CIVP 12/31/2003 166-48-7428 07/26/2004 08/25/2014 3661.41
Place of Filing
Prothonotary
Cumberland County Total $ 14773,19
Carlisle, PA 17013
This notice was prepared and signed at
PHILADELPHIA, PA
, on this.
the
02nd day of March
2005
for P SLANE
Title
ACS
(800) 829-7650
12-00-0000
Signature
(NOTE: Certificate of officer authorized by taw to take acknowledgment is not essential to the validity of Notice of Federal Tax lien
Rev. Ru1. 71-466, 1971 ,2 C.B. 409)
Part 1 - Kept By Recording Office
Foem 668(Y)(c) IRev. 2-20041
CAT. NO 60025X
11883 Department of the Treasury - Internal Revenue Service
Form 668 (Z) Certificate of Release of Federal Tax Lien
(Rev. 102000)
Area: Serial Number For Use b Recording Office
WAGE & INVESTMENT AREA ##1
Lien Unit Phone: (800) 913-6050 216565705 13 79 rTL
U
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 March 16
2005 , is authorized to note the books to show the release of this lien for "
these taxes and additions. O.
77
Name of Taxpayer ' 1-.-
ANN BARR
Ji,
7
:
N
c
_
_
:7
Residence6996 WERTZVILLE RD -'
MECHANICSBURG, PA 17050-1540
COURT RECORDING INFORMATION:
c
Liber Page UCC No. Serial No.
40
t
fi'-d ?Pd '
n/a n/a n/a 05-1378 FTL
,P?? a 5i
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (bl (cl (d) (e) (f)
CIVP 09/30/2001 XXX-XX-7428 06/07/2004 07/07/2014 757.20
CIVP 12/31/2001 XXX-XX-7428 06/07/2004 07/07/2014 8.94
CIVP 03/31/2002 XXX-XX-7428 06/07/2004 07/07/2014 1911.23
CIVP 06/30/2002 XXX-XX-7428 06/07/2004 07/07/2014 3349.13
CIVP 09/30/2003 XXX-XX-7428 07/26/2004 08/25/2014 5085.28
CIVP 12/31/2003 XXX-XX-7428 07/26/2004 08/25/2014 3661.41
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17413
Total 1$ 14773.19
This notice was prepared and signed at DETROIT, MI
the 03rd day of November 2010
Signature
, on this,
Title Director, Campus Compliance
Operations
"All
(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) IRev. 10-2000)
Part 11 - RECORDING OFFICE CAT. NO 600261