HomeMy WebLinkAbout06-4341Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien
(Rev. February 20041 /) /- - y ? 4 / F "r L
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 829-3903
304671506 p?
I
As provided by section 6321, 6322, and 6323 of the internal Revenue Ck, 1, 7b
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made & /j'/ 0/'-
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
addltionai penalties, interest, and costs that may accrue.
Name of Taxpayer SHAWN D BURKE
-_i
Residence 2167 CANTERBURY DR
MECHANICSBURG, PA 17055-5769
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).
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending identifying Number Assessment Refing of Assessment
a (b (c d e)
1040 12/31/2002 XXX-XX-5188 11/21/2005 12/21/2015 6756.35
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 6756.35
This notice was prepared and signed at
the 25th day of July
DETROIT, MI
2006
, on this,
Signature FY I Title
ACS 22-00-0008
for REGINA OWENS (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) Form 668(Y)(c) (Rev. 2-20041
Part 1 - Kept By Recording Office CAT. NO 60025X
Form 668 (Z) 2447 Department of the Treasury - Internal Revenue Service
,Rev. 10-20001 Certificate of Release of Federal Tax Lien
Area: Serial Number For Use b Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050
304671506
48.00 M Pt,FF
I certify that the following-named taxpayer, under the requirements of section 6325 (a) ett aws
of the Internal Revenue Code has satisfied the taxes listed below and all statutory NLAJD000
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 July 31
2006 , is authorized to note the books to show the release of this lien for
these taxes and additions. C
Name of Taxpayer
SHAWN D BURKE , ??--
Residence 216 7 CANTERBURY DR
MECHANICSBURG, PA 17055-5769
COURT RECORDING INFORMATION: y
Liber Page UCC No. Serial No.
n/a n/a n/a 06-4341
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiii ng of Assessment
(a) (b) (c) (d) (e) (fl
1040 12/31/2002 XXX-XX-5188 11/21/2005 12/21/2015 6756.35
******** ********** ************* ********** ************ ****************
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 6756.35
This notice was prepared and signed at DETROIT, MI
the 2 4 th day of March , 2010
, on this,
Signature A I Title Director, Campus Compliance
I Operations
(NUM 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) 1 )
CAT. NO 600261