HomeMy WebLinkAbout06-2746
1872
Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien l1AOf.' J. 7'11-
(Rev. February 2004) FTL
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2 Ii fJ-1I -!'I.vi)
Lien Unit Phone: (800) 829-3903 289064606
As provided by section 6321, 6322, and 6323 of the Internal Revenue Ck.- ,/3 dtJ
Code, we are giving a notice that taxes (including interest and penalties) ~. ./
have been assessed against the following-named taxpayer. We have made /71f.!J
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 8 ....., ~
=
additional penalties, interest, and costs that may accrue. =
~: cro
Name of Taxpayer JAMES A & MICHELLE L ROBERTS ..,:.1C': ::z: :r
nli.~ >- m:!J
-;.'.., , -< r--
?~I: - -om
(fl)~. U1 :00
-<. 0'
Residence ~g --10
1444 APPLE eIR APT 172 -0 T=i;
MECHANICSBURG, PA 17055-3901 :x Qc=s
~ Om
2: ~
IMPORTANT RELEASE INFORMATION: For each assessment listed below, ~ 0 ~
unless notice of the lien is refiled by the date given in column fe), this notice shall, 0
on the day following such date, operate as a certificate of release as defined
in IRC 6325Ia).
Tax Period Date of Last ~ for Unpaid Balance
Kind of Tax End:~g Identifying Number Asses:~ent R ng of Assessment
(a) (b (c) (d (el (0
1040 12/31/2004 XXX-XX-1149 08/01/2005 08/31/2015 3041. 75
Place of Filing
Prothonotary
Cumberland County Total $ 3041. 75
Carlisle, PA 17013
This notice was prepared and signed at
DETROIT, MI
, on this,
the
05th day of May
2006
Signature
Title
ACS
(800) 829-3903
22-00-0008
for REGINA OWENS
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity ot Notice ot Federal Tax lien
Rev. Ru!. 71-466. t971 - 2 C.B. 409)
Pan I - Kept By Recording Offlce
Form 668(Y)(c) IRev. 2-20041
CAT. NO 60025X
Form 668 (Z)
(Rev. 10-2000)
11883 Department of the Treasury - Internal Flevenue Service
Certificate of Release of Federal Tax Lien
Area: Serial Number
WAGE & INVESTMENT AREA #1 289064606
Lien Unit Phone: (800) 913-6050
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
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 may 15 _
2006 , is authorized to note the books to show the release of this lien for
these taxes and additions. _
Name of Taxpayer
JAMES A & MICHELLE L ROBERTS
Residence 1444 APPLE CIR APT 172
MECHANICSBURG, PA 17055-3901
Liber Page
n/a n/a
Kind of Tax
(a)
1040
Place of Filing
COURT RECORDING INFORMATION:
UCC No. Serial No.
n/a 06-2746 FTL
Use
p6- ID W6
Office
C_ t rT1
^p = ca --1
rn03
M C:3
rn I T1-1
nr N
r- = -4
;7
rol)
Tax Period Date of Last Day for
filin
R Unpaid Balance
of Assessment
Ending Identifying Number Assessment g
e
(b) (c) (d) (e1 (f)
12/31/2004 XXX-XX-1149 08/01/2005 0$/31/2015 3041.75
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 3041.75
DETROIT, MI
This notice was prepared and signed at
the 08th day of December 2010
Signature
, on this,
Title Director, Campus Compliance
Operations
(NOTE: Certificate of officer authorized by law to take acknowledgments is not essential to the vacuity v ?• -
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