HomeMy WebLinkAbout05-3751 1872
Department of the Treasury - Internal Revenue Service
Form 668 < Notice of Federal Tax Lien
(Rev. February 2 2004) 004)
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Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #3
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As provided by section 6321, 6322, and 6323 of the Internal Revenue ?k 9 9(.3
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made !iL yn M
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 BETH SHOVER
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Residence
2507 GETTYSBURG RD ;°= r F_
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CAMP HILL, PA 17011-7308 r\)
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IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice of the lien is ref iled 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). r\)
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Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
a) (b) (c) (d) (e) (f)
940 12/31/2004 04-3596415 04/11/2005 05/11/2015 57.68
941 09/30/2002 04-3596415 07/26/2004 08/25/2014 416.21
941 12/31/2002 04-3596415 01/03/2005 02/02/2015 348.96
941 06/30/2003 04-3596415 09/29/2003 10/29/2013 1616.82
941 09/30/2003 04-3596415 02/02/2004 03/04/2014 2480.57
941 12/31/2003 04-3596415 06/14/2004 07/14/2014 5110.55
941 03/31/2004 04-3596415 07/19/2004 08/18/2014 5327.46
941 06/30/2004 04-3596415 09/20/2004 10/20/2014 1879.29
941 12/31/2004 04-3596415 04/04/2005 05/04/2015 1056.80
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
This notice was prepared and signed at
the 12th day of July
PHILADELPHIA, PA
2005
Total 1$
18294.34
on this,
Signature I Title
` REVENUE OFFICER 23-09-1459
for CINDY SIMCOX (717) 221-3490
(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
6152 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 b Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
T
Lien Unit Phone: (800) 913-6050 23712630 5
I certify that the following-named taxpayer, under the requirements of section 6325 (a) ??LS
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 07
additions has been released. The proper officer in the office where the notice of
internal revenue tax lien was filed on July 25
2005 , is authorized to note the books to show the release of this l ien for
these taxes and additions.
Name of Taxpayer ,. ,
BETH SHOVER Ci
?..7 { cz t.._
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Residence 2 5 0 7 GETTYSBURG RD , m
C'.)
CAMP HILL, PA 17011-7308
,
COURT RECORDING INFORMATION: r
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Liber Page UCC No. Serial Na.
1 `'
n/a n/a n/a 05-3751FTL V
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Re8ling of Assessment
a b c d e f)
940 12/31/2004 04-3596415 04/11/2005 05/11/2015 57.68
941 09/30/2002 04-3596415 07/26/2004 08/25/2014 416.21
941 12/31/2002 04-3596415 01/03/2005 02/02/2015 348.96
941 06/30/2003 04-3596415 09/29/2003 10/29/2013 1616.82
941 09/30/2003 04-3596415 02/02/2004 03/04/2014 2480.57
941 12/31/2003 04-3596415 06/14/2004 07/14/2014 5110.55
941 03/31/2004 04-3596415 07/19/2004 08/18/2014 5327.46
941 06/30/2004 04-3596415 09/20/2004 10/20/2014 1879.29
941 12/31/2004 04-3596415 04/04/2005 05/04/2015 1056.80
******** ********** ************* ********** ************ ****************
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 18294.34
This notice was prepared and signed at
DETROIT, MI
the 24th day of June , 2008
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