HomeMy WebLinkAbout05-5414Form 668 (Y)(c)
(Rev. February 2004)
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien , _
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #3
Lien Unit Phone: (800) 913-6050 252706505
As provided by section 6321, 6322, and 6323 of the Internal Revenue
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,
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.
ame of Taxpayer
Residence 669 GAUMER RD
NEW CUMBERLAND, PA 17070-2824
For Optional Use by Re
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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).
Tax Period Date of Last Day for
Kind of Tax Ending Identifying Number Assessment Refilling
1040 12/31/19881 204-30-8161 107/10/19891 N/A
1040 12/31/1988 204-30-8161 04/16/1998 05/16/2008
269085.00
Place of Filing
Prothonotary
Cumberland County Total $ 269085.00
Carlisle, PA 17013
This notice was prepared and signed at PHILADELPHIA, PA on this,
the 07th day of October 2005
Signature Title
a REVENUE OFFICER 23-09-1450
for JEFFREY WHHITTE? (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
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Unpaid Balance
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Form 668 (Z)
(Rev. 10-2000)
6152 Department of the Treasury - Internal Revenue Service
Certificate of Release of Federal Tax Lien
Area: Serial Number For Use b Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2 n f
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Lien Unit Phone: (800) 913-6050 252706505 w. /'?
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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 Ck, 179 Y
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 _2,2,9 67L
internal revenue tax lien was filed on October 18
2005 , is authorized to note the books to show the release of this lien for
these taxes and additions. 5i
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Name of Taxpayer
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RICHARD V BRUBAKER
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Residence 6 6 9 GAUMER RD ,, M
NEW CUMBERLAND, PA 17070-2824 Z
COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No.
n/a n/a n/a 05-5414 FTL
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Rg of Assessment
a b a d f
1040 12/31/1988 XXX-XX-8161 07/10/1989 N/A
1040 12/31/1988 XXX-XX-8161 04/16/1998 05/16/2008 269085.00
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 269085.00
This notice was prepared and signed at
DETROIT, MI
the 17th day of August , 2009
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 OFRCE CAT. NO 600261