HomeMy WebLinkAbout06-5054
1872
Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien
(Rev. February 2004) /It, .01..60 S'1 prL
Area; Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2 PeL /l'-1l' jq./W
Lien Unit Phone: (800) 913-6050 310909306
A$ provided by section 6321, 6322, and 6323 of the Internal Revenue c.k.. (Nil
Code, we are giving a notice that taxes (including Interest and penalties)
have been assessed against the following-named taxpayer. We have made ~ /f':l Nt
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 = 0
c = "TI
additional penalties, Interest, and costs that may accrue. ~: en
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Name of Taxpayer RESTORATION CLINIC INC a Corporation ,,-, rl1-
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Residence 827 W TRINDLE RD , :::"" ::~j :!:!
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MECHANICSBURG, PA 17055-4058 (~C C) ,,':'j'TI
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, 1.0 -<
unless nOlice of the lien is refiled by the date given in column (e), this nOlice shall,
on the day following such date, operate as a certificate of release as defined
in IRe 6325(a).
Tax Period Date of Last DiJ. for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Ref! ng of Assessment
(a\ Cb) Cc) (d) (e\ en
941 12/31/2005 74-3075317 04/10/2006 05/10/2016 5724.93
Place of Filing
Prothonotary
Cumberland County Total $ 5724.93
Carlisle, PA 17013
This notice was prepared and signed at
DETROIT, MI
, on this,
the
17th day of August
2006
for DAVID M. SHROYER
Title
REVENUE OFFICER
(717) 221-3490 x1320
22-06-1442
Signature
(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, 197t - 2 C.B. 409)
Part 1 . Kept By Recordlnl OffIce
Form 668(Y)(c) IRsv. 2-2004)
CAT. NO 60025X
Form 668 (Z)
(Rev. 10-20001
11799
Department of the Treasury - Internal Revenue Service
Certificate of Release of Federal Tax Lien
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 310909306
I 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
internal revenue tax lien was filed on Augus t 3 0
2 006 ,is authorized to note the books to show the release of this lien for
these taxes and additions,
Name of Taxpayer
RESTORATION CLINIC INC , a Corporation
Residence 827 W TRINDLE RD
MECHANICSBURG, PA 17055-4058
COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No.
n/a n/a n/a 06.5054 FTL ./
Tax: Period
Kind of Tax: Ending Identifying Number
(a) (b) (e)
941 12/31/2005 74-3075317
*********************************
For Use by RecordinQ Office
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c:.I:l- I D'J 1
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Date of Last Day for
Assessment Refiling
(d) (e)
04/10/2006 05/10/2016
***********************
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
This notice was prepared and signed at
DETROIT, MI
the
18th day of October
2006
Signature
Title Director, Campus Compliance
Operations
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Unpaid Balance
of Assessment
(f)
5724.93
****************
5724.93
, on this,
(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 t - RECORDING OFFICE
Total $
Form 668 (Z) (Rev. 10-2000)
CAT. NO 600261
3114
Department of the Treasury - Internal Revenue Service
Certificate of Release of Federal Tax Lien
Form 668 (Z)
(Rev. 10-2000)
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (BOO) 913-6050 310909306
I 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
internal revenue tax lien was filed on August 30
2006 ,is authorized to note the books to show the release of this lien for
these taxes and additions.
For Use by Recording Office
fct. p -1/ ~ -5 ~'l>
Ct<. ,;z 799
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Liber
n/a
Page
n/a
COURT RECORDING INFORMATION:
UCC No. Serial No.
n/a 06.5054 FTL
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Name of Taxpayer
RESTORATION CLINIC INC , a Corporation
Residence 827 W TRINDLE RD
MECHANICSBURG, PA 17055-4058
Tax Period
Kind of Tax Ending Identifying Humber
(a) (b) (e)
941 12/31/2005 74-3075317
********~************************
Date of Last Day for
Assessment Refiling
(d) (e)
04/10/2006 05/10/2016
***********************
Unpaid Balance
of Assessment
(fJ
5724.93
****************
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $
5724.93
This notice was prepared and signed at
DETROIT, MI
, on this,
the
18th day of October
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 t - RECORDING OFFICE
Form 668 (Z) (Rev. 10-2000)
CAT. NO 600261