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HomeMy WebLinkAbout06-0860 1872 Form 668 (Y)(c) Department of the Treasury - Internal Revenue Service Notice of Federal Tax lien lLc (Rev. February 2004) Area: Serial Number SMALL BUSINESS/SELF EMPLOYED AREA #2 Lien Unit Phone: (800) 829-3903 272450106 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. Name of Taxpayer ROBERT T DEMAREST For Optional Use by Recording Office iJ;.lYI 'I'/Ob c.k. 7['1 JCu., /1'( 21l) Residence 4 CHELTON CIR CAMP HILL, PA 17011-8477 C) ,,, (-- ,:::::;:-, C) c:::;, <':'1'". -on -,., :::1 r-l /1 C';":::) W -;-) ['~ N f'...' IMPORTANT RELEASE INFORMATION: For each assessment listed below, unless notice of the lien is refiled 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 IRe 6325(a), Kind of Tax (a) 1040 1040 Tax Period Ending (b) 12(31(2001 12(31(2002 Identifying Number (c) XXX-XX-7740 XXX-XX-7740 Date of Assessment (d) 02(28(2005 02(28(2005 Last Day for Refiling (e) 03(30(2015 03(30(2015 Unpaid Balance of Assessment (f) 11915.35 5766,50 Place of Filing Prothonotary Cumberland County Carlisle, PA 17013 Total $ 17681.85 This notice was prepared and signed at DETROIT, MI , on this, 03rd day of February 2006 the for REGINA tl ff~ Title ACS (800) 829-3903 22-00-0008 Signature (NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice at Federal Tax lien Rev. Rul. 71-466,1971 - 2 C.B, 409) Part ~ ~ Kept By Recording Office Form 668(Y)(c) IRev, 2,20041 CA T, NO 60025X --*-- 4804 Department of the Treasury -Internal Revenue Service Form 66s (z) Certificate of Release of Federal Tax Lien (Rev. 10-2000) Area: Serial Number For Use b Recordin Office SMALL BUSINESS/SELF EMPLOYED AREA #2 ~~ 0"~ ~ ~ ~ [IU Lien Unit Phone: (800? 913-6050 272450106 70 I certify that the following-named taxpayer, under the requirements of section 6325 (a) ~,{~ L 3o g 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 7~~'-' ~ -z 8 / P3 additions has been released. The proper officer in the office where the notice of internal revenue tax lien was filed on February 13 2 0 0 6 is authorized to note the books to show the release of this lien for these taxes and additions. Name of Taxpayer ~ b ROBERT T DEMAREST ~ w r~ t.,. ~ ~... ~ ~`~~ © Residence4 CHELTON CIR ~~' ~ ~ ' ~ CAMP HILL, PA 17011-8477 ~ ` -~ ,- ~S ~_ COURT RECORDING INFORMATION: Liber Page UCC No. Serial No. ~ w n/a n/a nja 06-860 4~ ~' Tax Period Date of Last Dayy for Unpaid Balance Kind of Tax Ending Identifying Number Assessment Refiling of ,Assessment a) (6) (c) d (e) (f) 1040 12/31/2001 XXX-XX-7740 02/28/2005 03/30/2015 11915.35 1040 12/31/2002 XXX-XX-7740 02/28/2005 03/30/2015 5766.50 Place of Filing Prothonotary Cumberland County Carlisle, PA 17013 Total ~ $ 17681.85 This notice was prepared and signed at the 08th day of July Signature DETROIT, MI 2009 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 bb8 (Z) (Rev. 10-2000) Pare t -RECORDING OFFICE CAT. NO 600261