HomeMy WebLinkAbout05-3315Form 668 (Y)(c)
(Pay. February 2004)
Notice of Federal Tax Lien )10, 6i _ 3 _?iS, F rL
:
A Serial Number For Optional Use by Recording Office
rea
SMALL BUSINESS/SELF EMPLOYED AREA #3 n
/9 /9 9/V. oL
Lien Unit Phone: (800) 913-6050 233732605
As provided by section 6321, 6322, and 6323 of the Internal Revenue C_ -. 2 7 i S
Code, we are giving a notice that taxes (including interest and penalties) n
l
s2
9 y
have been assessed against the following-named taxpayer. We have made e,
(rte
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.
N
Name of Taxpayer JAN OSTERLUND C a O
T? ?T' C_
nip
Residence 1515 SLATE HILL RD fT, Q
u
CAMP HILL, PA 17011-8102 r i_ +C?
n
C
[ `rrr
IMPORTANT RELEASE INFORMATION: For each assessment listed below, = n>
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 ReCding of Assessment
(a) (b) (c) (d) (e) M
1040 12/31/1997 181-38-4842 11/16/1998 12/16/2008 22805.00
1040 12/31/1998 181-38-4842 12/06/1999 01/05/2010 9692.71
1040 12/31/2000 181-38-4842 11/10/2003 12/10/2013 1709.29
Place of Filing
Department of the Treasury - Internal Revenue Service
Prothonotary
Cumberland County
Carlisle, PA 17013
This notice was prepared and signed at
the 17th day of June
PHILADELPHIA, PA
Total ($
34207.00
2005
, on this,
Signature ` Title
REVENUE OFFICER 23-06-2916
for LINDA WASHINGTON (973) 569-4872
(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 I - Kept By Recording Office CAT. NO 60025X
2447 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 Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050
233732605
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 oZ 3 L? I
internal revenue tax lien was filed on June 29
2005 , is authorized to note the books to show the release of this lien for
these taxes and additions.
Name of Taxpayer
JAN OSTERLUND
Residence 1515 SLATE HILL RD
CAMP HILL, PA 17011-8102
COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No.
n/a n/a n/a 05-3315FTL
Kind of Tax Tax Period
Ending
Identifying Number Date of
Assessment Last Day for
Refiling Unpaid Balance
of Assessment
(a (b c d e i)
1040 12/31/1997 XXX-XX-4842 11/16/1998 12/16/2008 22805
00
1040 12/31/1998 XXX-XX-4842 12/06/1999 01/05/2010 .
9692
71
1040 12/31/2000 XXX-XX-4842 11/10/2003 12/10/2013 .
1709
29
******** ********** ************* ********** ************ .
****************
o
Z,r i?
F71 i' _ C_
T
I-TI
CA)
V °I -C
dace of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 34207.00
This notice was prepared and signed at DETROIT, MI
the
Signature
, on this,
I Title Director, Campus Compliance
Operations
10th day of January , 2010
(NUTS: 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) (Rev. 1 )
CAT. NO 600261