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HomeMy WebLinkAbout06-0863 1872 Department of the Treasury - Internal Revenue Service form 668 (Y)(c) Notice of Federal Tax Lien (Rev. February 2004) }{",Qt.-&I."-3 F7L Area: Serial Number For Optional Use by Recording Office SMALL BUSINESS/SELF EMPLOYED AREA #2 ({, P1l'/V: W Lien Unit Phone: (800) 829-3903 272154006 As provided by section 632t, 6322, and 6323 of the Internal Revenue CA.. 1 [f Code, we are giving a notice that taxes (including interest and penalties) /2-.<.-. /1'/30:- 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 EDWARD L & SANDRA L HERSHBERGER "" c:~ C) ,.--, .n c:i'" ...,.., --I r-, _Or" C.J fii Residence 702 HUMMEL AVE - LEMOYNE, PA 17043-1831 w ""7J 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, f') . , .. -I on the day following such date, operate as a certificate of release as defined ~. 1'0 :-:0 in IRe 6325(a), -" ,< Tax Period Date of Last Da.r. for Unpaid Balance Kind of Tax Ending Identifying Number Assessment Refi mg of Assessment (a) (b) (c) (d) (e) (f) 1040 12/31/2004 XXX-XX-8359 05/30/2005 06/29/2015 9267,43 Place of Filing Prothonotary Cumberland County Total $ 9267.43 Carlisle, PA 17013 This notice was prepared and signed at DETROIT, MI , on this, the 02nd day of February 2006 for REGINA tl f1'~ 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 of Federal Tax lien Rev. Ru!. 71-466, 1971 - 2 C.B. 409) Part J - Kept By Recording Office Form 668(Y)(c) (Rev, 2,2004) CAT, NO 60025X 11883 Department of the Treasury -Internal Revenue Service Form 668 (Z) Certificate of Release of Federal Tax Lien (Rev. 10-20001 Area: Serial Number For Use by Recordin Office SMALL BUSINESS/SELF EMPLOYED AREA #2 Lien Unit Phone: (800) 913-6050 272154006 1 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 February 13 ~ `~ r -' 2 0 0 6 is authorized to note the books to show the release of this lien for rn ~ " ~ ~. these taxes and additions. ~ ~ cn r'" .. c r~r=- ~m Name of Taxpayer EDWARD L & SANDRA L HERSHBERGER Residence 702 HUMMEL AVE LEMOYNE, PA 17043-1831 COURT RECORDING INFORMATION: Liber Page UCC No. Serial No. n/a n/a n/a 06-863 Tax Period Date of Kind of Tax Ending Identifying Number Assessment -< . ~'' r - ~ <:c' .~ ~ ~' o D ~ ~~ 'a (~ ~~ , g,s~ ~~(. ~-. 7- ~. ,IP.r`~ ~~ 3 073 Last Dayy for I Unpaid Balance Refiling of Assessment 1040 12/31/2004 XXX-XX-8359 05/30/2005 06/29/2015 I 9267.43 Place of Filing Prothonotary Cumberland County Carlisle, PA 17013 DETROIT, MI This notice was prepared and signed at the 05th day of November Total ~$ 9267.43 on this, 2012 Signature Title ~~~'~~ Operations Manager, Centralized Case Processing-Lien Unit (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 Form 668 (Z) (Rev. 10-2000) Part 1 -RECORDING OFFICE CAT. NO 600261