HomeMy WebLinkAbout06-3619
1872
Department of the Treasury - Internal Revenue Service
Form 668 <Y>< c > Notice of Federal Tax Lien
(Rev. February 2004) !lv.o l, . 3 ~/q J:rL
Area: Serial Number For Optional Use by Recording Office
WAGE & INVESTMENT AREA #1 .p~ ~ r IY.w
Lien Unit Phone: (800) 829.7650 297132106
As provided by section 6321, 6322, and 6323 of the Internal Revenue CK... 6' 1>/..1
Code, we are giving a notice that taxes (Including Interest and penalties) f2u,. /79S-ft
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 () "',
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additional penalties, Interest, and costs that may accrue. -=.; ~ -1'1
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Name of Taxpayer JEFFERY A & MARY B BLACKBURN r:'::-~ fil;J2
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Residence 220 FAITH CIR -- - '-!",
CARLISLE, PA 17013-8822 _.. (''';
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IMPORTANT RELEASE INFORMATION: For each assessment listed below. f"'\.) .<
unless notice of the lien is refiledby the date given in column (e), this notice shall,
on the day following such date, operate as a certificate of release as defined
in IRe 6325(a),
Tax Period Date of Last Dad; for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refi ng of Assessment
(a) (b) (c) (d) (e) (0
1040 12/31/2003 XXX-XX-2321 09/20/2004 10/20/2014 922.53
1040 12/31/2004 XXX-XX-2321 09/19/2005 10/19/2015 3083.93
Place of Filing
Prothonotary
Cumberland County Total $ 4006.46
Carlisle, PA 17013
This notice was prepared and signed at
DETROIT, MI
, on this,
14 th day of June
2006
the
Signature
Title
ACS
(800) 829-7650
11-00-0000
for DEBRA K. HURST
(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 Recordlnl OffIce
Form 668(Y)(c) IRev, 2-2004)
CAT, NO 60025X
4804 Department of the Treasury - Internal Revenue Service
Form 668 (Z)
(Rev. 10-2000) Certificate of Release of Federal Tax Lien
Area: Serial Number For Use by Recording Office
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (800) 913-6050 297132106
I certify that the following-named taxpayer,under the requirements of section 6325(a) '
Y 9' 4 { ': ;-
of the Internal Revenue Code has satisfied the taxes listed below and all statutory --;)p
additions. Therefore, the lien provided by Code section 6321 for these taxes and ' �r
additions has been released. The proper officer in the office where the notice of "'�--" r-
cf�- c.m.,x
internal revenue tax lien was filed on June 26 -.{cw
2006 is authorized to note the books to show the release of this lien for --(--- -7, -
these taxes and additions. °""
Name of Taxpayer r
JEFFERY A & MARY B BLACKBURN
Residence 22 0 FAITH CIR
CARLISLE, PA 17013-8822 /
COURT RECORDING INFORMATION: 9.,5(O fr , b---d 7
Liber Page UCC No. Serial No.
n/a n/a n/a 06-3619FTL 0-7 Oc a 3
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) i (c) (d) (e) (f)
1040 12/31/2003 XXX-XX-2321 09/20/2004 10/20/2014 922 . 53
1040 12/31/2004 XXX-XX-2321 09/19/2005 10/19/2015 3083 . 93
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Place of Filing
Prothonotary
Cumberland County Total $ 4006 .46
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI , on this,
the 09th day of October 2013 .
Signature r \\ Q. 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.409) Form 668 (Z) (Rev. 10-2000)
Part I - RECORDING OFFICE CAT. NO 600261