HomeMy WebLinkAbout05-3926
1872
Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien
(Rev. February 2004l 7U,. D.{. 39:J.t, ~-rl-
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #3 ~. P1f BI'f./JD
Lien Unit Phone: (800l 829-3903 239808905
As provided by section 6321, 6322, and 6323 of the Internal Revenue C1L- ..<:It.f
Code, we are giving a notice that taxes (Including interest and penalties)
have been assessed against the fOllowing-named taxpayer. We have made ~ Ill, 9'1'1
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 KENNETH F HELSTROM r:c..:::l 0
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Residence 1415 WELLGATE LN , I
MECHANICSBURG, PA 17055-6760 -
----,
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, C,,) ,
unless notice of the lien is refiled by the date given in column (el, this notice shall, ,
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on the day following such date, operate as a certificate of release as defined .. C)
in IRe 6325Ia}.
Tax Period Date of Last Da~ for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refil ng of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2000 187-56-0241 03/22/2004 04/21/2014 33520.95
Place of Filing
prothonotary
Cumberland County Total $ 33520.95
Carlisle, PA 17013
This notice was prepared and signed at
PHILADELPHIA, PA
. on this.
the
27th day of July
2005
Signature
Title
ACS
(800) 829-3903
23-00-0008
for L LEDER
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien
Rev. Ru!. 71-466, 1971 - 2 C.B. 4091
Part I - Kept By Recording OffIce
Form 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 I
{Rev.10-2000l
Area: Serial Number For Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2 P,L (J 41 'Sd...i
Lien Unit Phone: (800) 913-6050 239808905
I certify that the farrowing-named taxpayer, under the requirements of section 6325 ( CJL. .) J ,} f
at the Internal Revenue Code has satisfied the taxes listed below and all statutory i(n. /7j'j:;' 'I
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 August 01
2005 , is authorized to note the books to show the release of this lien for
these taxes and additions. .'-., ~
cc-, . 'I
Name of Taxpayer -.-. ..
KENNETH F HELSTROM -
-
.--
c
Residence 1415 WELLGATE LN
MECHANICSBURG, PA 17055-6760 -
~.
COURT RECORDING INFORMATION: ('" -
Liber Page UCC No. Serial No. e' "'.
n/a n/a n/a 05-3926-FTL
Tax Period Date of Last DiT. for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refi mg of Assessment
(a) (b) (c) (d) (e) (fJ
1040 12/31/2000 187-56-0241 03/22/2004 04/21/2014 33520.95
******** ~**********l ************* **********~ *******~;**** ****************
Place of Filing
Prothonotary
Cumberland County Total $ 33520.95
Carlisle, PA 17013
This notice was prepared and signed at
DETROIT, MI
. on this,
the
01st day of March
2006
Signature
Title Directc:>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. Ru!. 71-466,1971.2 C.B. 409)
Part 1 - RECORDING OffiCE
Form 668 (I) IRev. 10.20001
CAT. NO 600261