The URL can be used to link to this page

Home My WebLink About06-2866 1872 Department of the Treasury - Internal Revenue Service Forat 668 (y)(c> Notice of Federal Tax Lien (6ev. February 2004) yv.o(,- ? pc.G Frtr Area: Serial Number For Optional Use by Recording Office SMALL BUSINESS/SELF EMPLOYED AREA #2 Jjt 10 =-/y W r Lien Unit Phone: (600) 913-6050 269431206 As provided by section 6321, 6322, and 6323 of the Internal Revenue Cc q'0/) Code, we are giving a notice that taxes (including interest and penalties) have been assessed against the following-named taxpayer. We have nude dp'? J ? 8! 6 G 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 STEPHEN D BRINK (? N Residence 200 E SIMPSON STREET BASEMENT -Ir _ nt MECHANICSBURG, PA 17055-6511 m 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 -? G y in IRC 6325(a). Tax Period Date of Last Day for Unpaid Balance Kind of Tax Ending Identifying Number Assessment Refiling of Assessment (a b c (d) (e) 940 12/31/2001 23-2523132 03/20/2006 04/19/2016 209.77 940 12/31/2005 23-2523132 04/17/2006 05/17/2016 375.52 941 09/30/2001 23-2523132 01/09/2006 02/08/2016 3102.87 941 12/31/2001 23-2523132 01/09/2006 02/08/2016 4225.69 941 03/31/2002 23-2523132 12/12/2005 01/11/2016 4191.16 941 06/30/2002 23-2523132 02/13/2006 03/14/2016 7252.97 941 09/30/2002 23-2523132 02/13/2006 03/14/2016 8780.55 941 12/31/2002 23-2523132 02/13/2006 03/14/2016 6852.60 941 09/30/2003 23-2523132 12/12/2005 01/11/2016 6156.33 941 12/31/2003 23-2523132 12/12/2005 01/11/2016 6089.16 941 03/31/2004 23-2523132 12/12/2005 01/11/2016 7179.45 941 12/31/2005 23-2523132 03/20/2006 04/19/2016 846.24 Place of Filing Prothonotary Cumberland County Carlisle, PA 17013 Total 1$ 55262.31 This notice was prepared and signed at DETROIT, MI the 08th day of May 2006 , on this, Signature ?- A Ykx Title REVENUE OFFICER 22-06-1442 for DAVID M. SHROYER (717) 221-3490 x1320 (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) Form 668(Y)(c) (Rev. 2-2004) Pan 1 - Kept By Recording Office CAT. NO 60025X ?`I Department of the Treasury - Internal Revenue Service FormC68'-I (Rev. 10-1999) Certificate of Release of Federal Tax Lien Serial Number For Use by Recording Office Small Business/Self Employed Area: 2 289431206 1 certify that as to the following-named taxpayer, the requirements of section 6325 (a) of the COURT RECORD,"G IVOR16ATION Internal Revenue Code have been satisfied for the taxes listed below and for all statutory 06-2866 -n additions. Therefore, the lien provided by Code section 6321 for these taxes and additions has r i r? been released. The proper officer in the office where the notice of internal revenue tax lien was `r- Mr- filed on May 19, y , 2006, is authorized to note the books to show the release of this lien for these Co Z) taxes and additions. ; Name of Taxpayer ?- rn Stephen D Brink 5 C 1 Residence 200 E Simpson St Basement Mechanicsburg, PA 17055-6511 Cc s Kind of Tax Tax Period Ended Identifying Number Date of Last Day for Unpaid Balance (a) (b) (c) Assessment Refiling of Assessment (d) (e) M 940 12/31/2001 23-2523132 03/20/2006 04/19/2016 $209.77 940 12/31/2005 23-2523132 04/17/2006 05/17/2016 $375.52 941 09/30/2001 23-2523132 01/09/2006 02/0812016 $3,102.87 941 12/31/2001 23-2523132 01/09/2006 02/0812016 $4,225.69 941 03/31/2002 23-2523132 12/12/2005 01/11/2016 $4,191.16 941 06/30/2002 23-2523132 02/13/2006 03/14/2016 $7,252.97 941 09/30/2002 23-2523132 02/13/2006 03/14/2016 $8,780.55 941 12/31/2002 23-2523132 02/13/2006 03/14/2016 $6,852.60 941 09/30/2003 23-2523132 12/1212005 01/11/2016 $6,156.33 941 12/31/2003 23-2523132 12/1212005 01/11/2016 $6,089.16 941 03/31/2004 23-2523132 12/12/2005 01/11/2016 $7,179.45 941 12/31/2005 23-2523132 03/20/2006 04/19/2016 $846.24 Place of Filing Prothonotary Total $55,262.31 Cumberland County Carlisle, PA 17013 This notice was prepared and signed at Harrisburg, PA, on this, the_Qth day of May , 2009. David M. Shroyer, Employee # - Revenue Officer, Phone # - (717)777-9625 (NOTE: Certificate of officer authorized by law to take acknowledgements is not essential to the validity of Certificate of Release of Federal Tax Lien Rev. Rul. 71-466, 1971-2 C.B. 409) Part 1 - Recording Office Form 668(Z) (Rev. 10-1999) Form 668 (Z) (Rev. 10-2000) 4804 Department of the Treasury - Internal Revenue Service Certificate of Release of Federal Tax Lien Area: Serial Number For Use b Recording Office SMALL BUSINESS/SELF EMPLOYED AREA #2 Ph Li i U 943 2 6 DD /1 a??p en n one: (800) 913-6050 t 28 1 0 I certify that the following-named taxpayer, under the requirements of section 6325 (a) 3K3 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 19 2006 , is authorized to note the books to show the release of this l ien for these taxes and additions. ' Name of Taxpayer C=n. STEPHEN D BRINK ° = Residence200 E SIMPSON STREET BASEMENT MECHANICSBURG, PA 17055-6511 COURT RECORDING INFORMATION: ui n? -"' Liber Page UCC No. Serial No. , n/a n/a n/a 06-2866 - -; Tax Period Date of Last Dayy for Unpaid Balance Kind of Tax Ending Identifying Number Assessment Ref ng of Assessment a b c d e f) 940 12/31/2001 23-2523132 03/20/2006 04/19/2016 209.77 940 12/31/2005 23-2523132 04/17/2006 05/17/2016 375.52 941 09/30/2001 23-2523132 01/09/2006 02/08/2016 3102.87 941 12/31/2001 23-2523132 01/09/2006 02/08/2016 4225.69 941 03/31/2002 23-2523132 12/12/2005 01/11/2016 4191.16 941 06/30/2002 23-2523132 02/13/2006 03/14/2016 7252.97 941 09/30/2002 23-2523132 02/13/2006 03/14/2016 8780.55 941 12/31/2002 23-2523132 02/13/2006 03/14/2016 6852.60 941 09/30/2003 23-2523132 12/12/2005 01/11/2016 6156.33 941 12/31/2003 23-2523132 12/12/2005 01/11/2016 6089.16 941 03/31/2004 23-2523132 12/12/2005 01/11/2016 7179.45 941 12/31/2005 23-2523132 03/20/2006 04/19/2016 846.24 ******** ********** ************* ********** ************ **************** Place of Filing Prothonotary Cumberland County Carlisle, PA 17013 Total 1$ 55262.31 This notice was prepared and signed at the 20th day of May 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 668 (Z) (Rev. 10-2000)