HomeMy WebLinkAbout06-0599Form 668 (y)(c)
(Rev. February 2004)
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien -n t) re • s 9 q L:? T-1
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA 41
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As provided by section 6321, 6322, and 6323 of the Internal Revenue c?2 1 a /.L
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made J/& 17-1517
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 CHRISTINE GOTWALT r ,
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Residence
1848 HOLLY DRIVE
1848 n1_
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PA 17011 W ?
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IMPORTANT RELEASE INFORMATION: For each assessment listed below
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,
unless notice of the lien is refiled by the date given in column (e), this notice shall,
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on the day following such date, operate as a certificate of release as defined
in IRC 6325(a). cr^
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Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/1999 XXX-XX-3754 09/15/2005 10/15/2015 9638.62
1040 12/31/2000 XXX-XX-3754 09/05/2005 10/05/2015 20185.55
1040 12/31/2001 XXX-XX-3754 09/12/2005 10/12/2015 2171.23
1040 12/31/2002 XXX-XX-3754 08/22/2005 09/21/2015 9964.43
1040 12/31/2003 XXX-XX-3754 10/31/2005 11/30/2015 15648.20
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
This notice was prepared and signed at
DETROIT, MI
Total 1 $
57608.03
the 19th day of January 2006
, on this,
Signature Title
a lllina? CASE PROC MGR 21-00-0018
for DOROTHY OWENS (866) 611-6191
(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( I 1
Part I - Kept By Recording Office CAT. NO O 60025X
CAT
025X
4805 Department of the Treasury - Internal Revenue Service
Form 66s (z)
Certificate of Release of Federal Tau Lien
(Rev. 10-20001
Area: Serial Number For Use b Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #1
Ph
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269353006
one: (800) 913-6050
Lien Un
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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 a sy3 •?
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 oZfd 9. r
internal revenue tax lien was filed on January 30
2006 , is authorized to note the books to show the release of this lien for Ca *?
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these taxes and additions. C
Name of Taxpayer
CHRISTINE GOTWALT f;=
PSI., `?C
_)
Residence 184 8 HOLLY DRIVE r; `
CAMPHILL, PA 17011
COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No.
n/a n/a n/a 06-599 FTL
Tax Period Date of Last Day for unpaid Balance
Kind of Tax Endig Identifying Number Assessment Reflflng of Assessment
a 6 c d
j
s
(0
1040 12/31/1999 XXX-XX-3754 09/15/2005 10/15/2015 9638.62
1040 12/31/2000 XXX-XX-3754 09/05/2005 10/05/2015 20185.55
1040 12/31/2001 XXX-XX-3754 09/12/2005 10/12/2015 2171.23
1040 12/31/2002 XXX-XX-3754 08/22/2005 09/21/2015 9964.43
1040 12/31/2003 XXX-XX-3754 10/31/2005 11/30/2015 15648.20
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 57608.03
This notice was prepared and signed at DETROIT, MI
the 18th 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 I - RECORDING OFFICE CAT. NO 600261