HomeMy WebLinkAbout06-5056
1872
Department of the Treasury. Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien
(Rev. February 2004) 7UD(,~ $051. FrL-
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2 ~.I21I"I"'oV
Lien Unit Phone: (800) 829-3903 310115606
As provlded by section 6321, 6322, and 6323 of the Internal Revenue e..A.. <S Jl)
Code, we are giving a notice that taxes (Including Interest and penalties)
have been assessed against the following-named taxpayer. We have made ~ / fJ.J.21
a demand for payment of this liability, but It remains unpaid. Therefore,
there Is a Den In favor of the United States on all property and rlllhts to
property beIonafng to this taxpayer for the amount of these taxes, and
additional penalties, Interest, and costs that may accrue.
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Name of Taxpayer JEREMY W & DOREEN M HELM = 0
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Residence 2708 WARREN WAY (/) (..)
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MECHANICSBURG, PA 17050-7276 -.- Cl .'-...... I
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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, .. ~
on the day following such date, operate as a certificate of release as defined -. -
-~
in IRC 6325(a). Cl -<
Tax Period Date of Last Dnfn for Unpaid Balance
Kind (r:r Tax En(d~~g Identifying Number Assessment ~) g of Assessment
a) (c) (d) en
1040 12/31/2000 XXX-XX-3457 10/14/2002 11/13/2012 25293.81
1040 12/31/2001 XXX-XX-3457 10/07/2002 11/06/2012 4751. 04
Place of Filing
Prothonotary
Cumberland County Total $ 30044.85
Carlisle, PA 17013
This notice was prepared and signed at
DETROIT, MI
I on this,
the
15th day of August
2006
for REGINA OWENS
Title
ACS
(800) 829-3903
22-00-0008
Signature
(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.8. 409)
,.... 1 - Kept By _, OIIIce
Form 668(Y)(c) (Rev. 2-2004)
CAT. NO 60025X
--*--
11799
Department of the Treasury - Internal Revenue Service
Certificate of Release of Federal Tax Lien
Form 668 (Z)
(Rev. 10.20001
Area:
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (BOO) 913-6050
Serial Number
310115606
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 30
2006 ,is authorized to note the books to show the release of this lien for
these taxes and additions.
Name of Taxpayer
JEREMY W & DOREEN M HELM
Residence 2708 WARREN WAY
MECHANICSBURG, PA 17050-7276
RECORDING INFORMATION:
Serial No.
06-5056 FTL I
COURT
Liber Page UCC No.
n/a n/a n/a
Tax Period
Kind of Tax Ending Identifying Number
(a) (b) (e)
1040 12/31/2000 XXX-XX-3457
1040 12/31/2001 XXX-XX-3457
********ik**********i*************
For Use bv RecordinQ Office
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Date of Last Day for
Assessment Refiling
(d) (e)
10/14/2002 11/13/2012
10/07/2002 11/06/2012
**********i************
Unpaid Balance
of Assessment
(f)
25293.81
4751.04
****************
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
This notice was prepared and signed at
DETROIT, MI
the
22nd day of November
2006
Signature
Title Direct<?r, Campus Compliance
Operatlons
Total $
30044.85
, 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 1 . RECORDING OFFICE
Form 668 (Z) (Rev. 10-2000)
CAT. NO 600261