HomeMy WebLinkAbout06-3076
1872
Department of the Treasury. Internal Reven~e Service
i
Notice of Federal Tax Lie~ Iln.o(,- J07t.. Fn
Form 668 (Y)( c)
(Rev. February 2004)
i For Optional Use by Recording Office
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Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 829-3903 291366006
A5 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 liabiUty, 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 KEITH PEIFER
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34 W BEALE AVE
ENOLA, PA 17025-2805
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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 IRC 6325(a).
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Tax Period
Ending
(b)
12/31/2001
Date of
Assessment
(d)
06/13/2005
Last DJ\ for
Refi,ng
(e
07/13 2015
Unpaid Balance
of Assessment
(f)
24390.30
Kind(:~Tax
1040
Identifying Number
(c-\
XXX-XX-3436
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $
24390.30
DETROIT, MI
This notice was prepared and signed at
, on this..
16th day of May
2006
the
-
Signature _~!J Yn -t-o-1.17I
for REGINA OWENS
Title
ACS
(800) 829-390
22-00-0008
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to th~ validity of Notice of Federal Tax lien
Rev, Rul. 71-466,1971 - 2 C.B. 4091
Form 668(Y)(c) (Rev. 2.2004)
CAT. NO 60025X
Part I . Kept By Recording Office
1872 Department of the Treasury - Internal Revenue Service
Form 668 (Z) Certificate of RillA" ef Federal Tax Lien
(Rev. 10-2000) .
Area: Serial Number For Use bv Recordino Office
SMALL BUSINESS/SELF EMPLOYED AREA #2 -A. il1f c -5.00
Lien Unit Phone: (BOO) 913-6050. 291366006
I certify that the following-named taxpayer. under the requirements of section 6325 ( C/I.... SIO
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 ~ /9;1 ,230
additions has been released. The proper officer in the office'where the notice of
internal revenue tax lien was filed on May 30 (') ....,
= 0
2006 , is authorized to note the books to show the release of this lien for C =
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these taxes and additions. J> :r'
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Name of Taxpayer r-
(i] W -om
KEITH PEIFER - C) :JJO
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Residence 34 W BEALE AVE -
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ENOLA, PA 17025-2805 :::< -
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COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No.
n/a n/a n/a 2006-03076 /
Tax Period Date of Last DlJ. for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment RefI ng of Assessment
(a) (b) (e) (d) (e) (f)
1040 12/31/2001 XXX-XX-3436 06/13/2005 07/13/2015 24390.30
******** ********** ************* **********iI ************ ****************
.
Place of Filing
Prothonotary
Cumberland County Total $ 24390.30
Carlisle, . PA 17013
This notice was prepared and signed at
DETROIT, MI
, on this,
the
16th day of August
2006
Signature
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)
Part 1 . RECORDING OFFICE
Form 668 (Z) IRev. 10-20001
CAT. NO 600261