HomeMy WebLinkAbout06-0738
1872
Department of the Treasury. Internal Revenue Service
Form 668 (Y)(() Notice of Federal Tax Lien
(Rev. February 2004) ({P()(,,-73 ,< F n-
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2 f,;, PfI f /tt c-v
Lien Unit Phone: (800) 913-6050 270418206
As provided by section 6321, 6322, and 6323 of the Internal Revenue Ch- /'131
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made dCu-- )7'1/).2 t
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 SAMUEL EUGENE MANLEY
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Residence 222 CREEK RD ." :;:J
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NEWVILLE, PA 17241-9417 c:> "
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, . ~ C~)
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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 ~~ f~
in IRe 6325(a), -;
~ :;t~
Tax Period Date of Last Day for U~paid'ialanC'e
Kind of Tax Ending Identifying Number Assessment Refihng of Assessment
(a) (b) (c) (d) (e) (f)
940 12/31/2003 25-1583840 04/12/2004 05/12/2014 86.79
940 12/31/2004 25-1583840 04/25/2005 OS/25/2015 147.79
941 06/30/2004 25-1583840 10/18/2004 11/17/2014 676.71
941 09/30/2004 25-1583840 12/20/2004 01/19/2015 1997.46
941 12/31/2004 25-1583840 04/11/2005 05/11/2015 6254.60
941 06/30/2005 25-1583840 10/17/2005 11/16/2015 3470.41
Place of Filing
Prothonotary
Cumberland County Total $ 12633.76
Carlisle, PA 17013
This notice was prepared and signed at
DETROIT, MI
, on this,
the
25th day of January
2006
Signature a / ./
'.A<</a,.J u- n~
for DAVID M. SHROYER
Title
REVENUE OFFICER
(717) 221-3490 x1320
22-06-1442
(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,8, 409)
Part 1 ~ Kept By Recording Office
Form 668(Y)(c) (Rev, 2.20041
CAT, NO 60025X
form 668 (Z)
(Rev. 10-20001
1872
Department of the Treasury. Internal Revenue Service
Certificate of a,II.1 of Federal Tax Lien
For Use b Office
Ii. ~ " 0,01)
Ue- (, sot
R.u... I fb %"1
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 270418206
I certify that the following.named taxpayer, under the requirements of section 6325 (
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 February 06
2006 ,is authorized to note the books to show the release of this lien for
these taxes and additions.
Name of Taxpayer
SAMUEL EUGENE MANLEY
c_ :::.:1
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(-.,'
Residence222 CREEK RD
NEWVILLE, PA 17241-9417
COURT
Page UCC No.
n/a n/a
Tax Period
End/nr
(b)
12/31/2003
12/31/2004
06/30/2004
09/30/2004
12/31/2004
06/30/2005
******** **********
Liber
n/a
Kind of Tax
(8)
940
940
941
941
941
941
Place of Filing
j>.,,)
,",',
RECORDING INFORMATION:
Serial No. ./
06-738FTL -v
Date of Last ::&for Unpaid Balance
Identlfylnr Number Assessment left r of Assessment
(e) (d) (8) (f)
25-1583840 04/12/2004 05/12/2014 86.79
25-1583840 04/25/2005 OS/25/2015 147.79
25-1583840 10/18/2004 11/17/2014 676.71
25-1583840 12/20/2004 01/19/2015 1997.46
25-1583840 04/11/2005 05/11/2015 6254.60
25-1583840 10/17/2005 11/16/2015 3470.41
************* ********** ************ ****************
Prothonotary
CUmberland County
Carlisle, PA 17013
Total $
12633.76
DETROIT, MI
, on this,
This notice was prepared and signed at
the 19th day of July
2006
Signature , II.
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. 4091
p~ 1 - RECORDIMG OfFICE
Form 668 (Z) (Rev, 10-20001
CAT, NO 600261