HomeMy WebLinkAbout06-26211O a Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c)
(Rev. February 20041 Notice of Federal Tax Lien
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Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2 /f
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Lien Unit Phone: (800) 829-3903 287991406 ?
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As provided by section 6321, 6322, and 6323 of the internal Revenue 103-3
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the foliowing-named taxpayer. We have made n
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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 r ,
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additional penalties, interest, and costs that may accrue. -
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Name of Taxpayer PATRICIA A FORTENBAUGH A
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Residence 502 BRIDGE ST
NEW CUMBERLND, PA 17070-1930 } Ci c> O
IMPORTANT RELEASE INFORMATION: For each assessment listed below Co
,
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 IRC 6325(a).
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiiing of Assessment
(a) b) (c d) (e) (f)
1040
I 12/31/2000
- I XXX-XX-5434 12/23/2002 01/22/2013 2419.18
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
This notice was prepared and signed at
the 02nd day of May
DETROIT, MI
Total $
2419.18
2006
on this,
Signature ?- y Title
for REGINA OWENS ACS 22-00-0008
(800) 829-3903
(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)
Part I - Kept By Recording Office Form 668(Y)(c) (Rev. 2-2004)
CAT. NO 60025X
4805 Department of the Treasury - Internal Revenue Service
Form 66g (z)
(Rev. 10-2000) Certificate of Rekm of Federal Tax Lien
Area: Serial Number For Use b Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050
287991406 it P'W Qp(f1?
1 certify that the following-named taxpayer, under the requirements of section 6325 (a) ch- '5'yVo
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 aLw
additions has been released. The proper officer in the office where the notice of
internal revenue tax lien was filed on May 08
2006 , is authorized to note the books to show the release of this lien for L ° 0
these taxes and additions.
i
Name of Taxpayer -
PATRICIA A FORTENBAUGH
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Residence 502 BRIDGE ST Jrn
NEW CUMBERLND, PA 17070-1930
COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No.
n/a n/a n/a 06-2621 FTL f
Tax Period Date of Last
Day for Ui dice
Kind of Tax Ending ldentV<pkg Number Assessment _
Rung Eff t
(aJ (bJ (c)l (d) (el (fJ
1040 12/31/2000 XXX-XX-5434 12/23/2002 01/22/2013 2419.18
******** ********** ************* ********** ************ ****************
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total J$ 2419.18
This notice was prepared and signed at
the 22nd day of August
Signature
DETROIT, MI
2007
, on this,
Title Director, Campus Compliance
Operations
(Wn: Certificate of officer authorized by law to take acknowledgments is not essential to
Federal Tax lien Rev. Rul. 71-466, 1971 - 2 C.B. 409)
Part 1 - RECORDING OFFICE
validity of Certificate of Release of
Form 668 (Z) (Rev. 10-2000)
CAT. NO 600261