HomeMy WebLinkAbout06-4656Form 668 (Y)(c)
(Rev. February 2004)
Notice of Federal Tax Lien
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
-
307446906 ?n
1
7 a/y,
Lien Unit Phone: (800) 913
6050 '
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As provided by section 6321, 6322, and 6323 of the Internal Revenue /L
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 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. tC- o p
Name of Taxpayer JOHN D BUCKWALTER rtx, x.
l ni :0
Residence 30 N 5TH ST ??_ O
LEMOYNE, PA 17043-1610 x
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C'3 5
IMPORTANT RELEASE INFORMATION: For each assessment listed below,
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unless notice of the lien is refiled by the date given in column (e), this notice shall, v
on the day following such date, operate as a certificate of release as defined
in IRC 6325(a).
Tax Period Date of Last D for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refing of Assessment
a (b) c (d (e (f)
941 09/30/2005 23-2218095 01/02/2006 02/01/2016 6020. 25
941 12/31/2005 23-2218095 04/10/2006 05/10/2016 19315. 89
941 03/31/2006 23-2218095 07/10/2006 08/09/2016 3255.91
Place of Filing
Department of the Treasury - Internal Revenue Service
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 28592.05
This notice was prepared and signed at
DETROIT, MI
the 03rd day of August 2006
on this,
Signature I . P 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)
Part I - Kept By Recording Office CAT. NO 60025X
6152 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 b Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 307446906
1 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 ???,?( p Q /
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internal revenue tax lien was filed on August 11 C -a
2006 , is authorized to note the books to show the release of this lien for
these taxes and additions. 9,?' p p Q
7 7 T 7
Name of Taxpayer
JOHN D BUCKWALTER
Residence 3 0 N 5TH ST
LEMOYNE, PA 17043-1610
COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No.
n/a n/a n/a 06-4656
Tax Period Date of Last pay for unpaid BabwCe
Kind of Tax Ending Identifying Number Assessment Refiliiiing of Assessment
(a) (b) (c) W (el M
941 09/30/2005 23-2218095 01/02/2006 02/01/2016 6020.25
941 12/31/2005 23-2218095 04/10/2006 05/10/2016 19315.89
941 03/31/2006 23-2218095 07/10/2006 08/09/2016 3255.91
fs
?r
tl7r . _
0 _ i
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 28592.05
This notice was prepared and signed at
DETROIT, MI
the 29th day of August , 2007
Signature
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)
Part 1 - RECORDING OFFICE CAT. NO 600261