HomeMy WebLinkAbout05-6729
1872
Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien 71 ,_ fl ,_ I. 7;)9 FTL-.
(Rev. February 2004)
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #3 Pd... P1l t 1'I,tJi)
Lien Unit Phone: (800) 913-6050 263923805
As provided by section 6321, 6322, and 6323 of the Internal Revenue 01.- h13
Code, we are giving a notice that taxes (including interest and penalties) /I). J9!
have been assessed against the following-named taxpayer. We have made RLv-
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 ALLEN J & FAITH GOURLEY
0 '"
.S ~ 0
(:::::;,
Residence 1933 SHERIDAN RD -, <,'"' "-q
1.:('/- t:"J :?-
NEW BETHLEHEM, PA 16242-3853 r'1
" '-11-.:...1
", r-
,~I--';
IMPORTANT RELEASE INFORMATION: For each assessment listed below, r---' " ~~) Cj
~j--
unless notice of the lien is refiled by the date given in column (e), this notice shall, " -.J~)
on the day following such date, operate as a certificate of release as defined -c,. ,--') :~:J
_.r..
in IRC 6325(a). :.: ':'? (~:~r;;;
Tax Period Date of Last Day for U~paidiiala~
Kind of Tax Ending Identifying Number Assessment Refilmg of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2004 179-50-2439 11/28/2005 12/28/2015 28764.47
Place of Filing
Prothonotary
Cumberland County Total $ 28764.47
Carlisle, PA 17013
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
14th day of December
2005
the
for AUDREY
aff~
Title
REVENUE OFFICER
(724) 282-0545
23-06-1912
Signature
(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 1 ~ Kept By Recording Office
Form 668(Y)(c) IRev. 2-20041
CAT. NO 60025X
0 ,...., 0
<'-:::-J
C C;;:;) -n
~~->" ""'"
0 --;
t. -~
; ; i'T, f~l .,.,
,) f=
-T::I m
N :7) 9
_J (~"r
"'D >2 :-'-';
:::K c')
i /:';,;rT!
rv 7""\
,>
~-,--,
.......,
N --<
1872
Department of the Treasury - Internal Revenue Service
Certificate of Release of Federal Tax Lien
Form 668 (1)
(Rev. 10-2000)
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 263923805
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 December 27
2005 ,is authorized to note the books to show the release of this lien for
these taxes and additions.
For Use by Recording Office
..fl c-L.. fJ.J/I *,.s; c'lJ
Ck.... 10 7.;J 5
tZ.v. ) f3Jt 1
Liber
n/a
Page
n/a
COURT RECORDING INFORMATION:
UCC No. Serial No.
n/a 05-6729 FTL /'
0 ~
c::;:;) 0
C c::;:;) "T1
~ 0"0
-Om C/.) -f
mf'j, rr1 :t:::o
Z::'.L.' v ~Fn
~:; N :06
- ?..J
r::
):;: :I'> :;J -r,
;'-'\ ::!J
-?~~ (J :.l: :';~O
Pc co (3m
Z -I
:2 W ?E
0 -<
Name of Taxpayer
ALLEN J & FAITH GOURLEY
Residence 1933 SHERIDAN RD
NEW BETHLEHEM, PA 16242-3853
Kind of Tax
(a)
1040
********
Tax Period
Ending Identifying Number
(b) (c)
12/31/2004 179-50-2439
**********~*************
Date of Last Day for
Assessment Refilmg
(d) (e)
11/28/2005 12/28/2015
**********~************
Unpaid Balance
of Assessment
(f)
28764.47
****************
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $
28764.47
This notice was prepared and signed at
DETROIT, MI
, on this,
the 13 th day of September, 2006
Signature
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)
Part 1 - RECORDING OFFICE
Form 668 (Z) (Rev. 10-2000)
CAT. NO 600261