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HomeMy WebLinkAbout06-5057 1872 Department of the Treasury - Internal Revenue Service form 668 (Y)(c) Notice of Federal Tax Lien n M. S ''7 c-1 (Rev. February 2004) '.- . . O:t 7"J.. Area: Serial Number For Optional Use by Recording Office SMALL BUSINESS/SELF EMPLOYED AREA #2 f?J..'P'1l~I't.ve Lien Unit Phone: (800) 913 -6050 312222906 A$ provided by section 6321, 6322, and 6323 of the Internal Revenue c.t /30 ~ Code, we are giving a notice that taxes (including Interest and penalties) have been assessed against the following-named taxpayer. We have made ~. 1'1';'; 33 a demand for payment of this liability, but it remains unpaid. Therefore, there is a lien in favor of the United Scates on all property and rishes to property belonslng to this taxpayer for the amount of these taxes, and addiclonal penalties, interest, and costs that may accrue. Name of Taxpayer BERNARD R & DEBRA J WERWIE (') ....., = 0 c = '" "'"' -" a:;tr ".. :I! c:: Residence -? ' cn n'~ 312 POPULAR AVE V):; w -om CiJC[! NEW CUMBERLND, PA 17070-1868 C;= f:.. 0 ()( ) j::.':. ",. _-:;:l-r, .,"'- -.:" IMPORTANT RELEASE INFORMATION: For each assessment listed below. t~rc;_. :x ')(") - t5rn unless notice of the lien is refiled by the date given in column (e). this notice shall. ......- - ;:~ .. ;g on the day following such date. operate as a certificate of release as defined -~ - ....::;: _D in IRe 6325(a). '" -< Tax Period Date of Lase Dl.for Unpaid Balance Kind of Tax Ending Identifying Number. Assessment ~) g of Assessment (a) (b) (el Cd) m 1040 12/31/2001 XXX-XX-5308 10/18/2004 11/17/2014 19247.13 1040 12/31/2002 XXX-XX-5308 07/07/2003 08/06/2013 1040 12/31/2002 XXX-XX-5308 10/18/2004 11/17/2014 17027.72 1040 12/31/2003 XXX-XX-5308 06/07/2004 07/07/2014 1040 12/31/2003 XXX-XX-5308 02/06/2006 03/07/2016 8505.90 . Place of Filing Prothonotary Cumberland County Total $ 44780.75 Carlisle, PA 17013 This notice was prepared and signed at DETROIT, MI , on thisl the 23rd day of August 2006 for JEFFREY WHITE Title REVENUE OFFICER (717) 221-3490 x1300 22-06-1450 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. tS71 - 2 C.B. 40S) Part 1 . Kept By Recordln, om.. Form 668(Y)(c) (Rev. 2-20041 CAT. NO 60025X 1872 Department of the Treasury - Internal Revenue Service Certificate of Release of Federal Tax Lien Form 668 (Z) (Rev. 10-2000) 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 ~ xx t!/.:J (J ~ ,J.j){) G is authorized to note the books to show the release of this lien for these taxes and additions. For Use by RecordinQ Office Ii. ;J4I fe ~ (/D Ck. lottS0 ~ J t37el1 Area: Serial Number SMALL BUSINESS/SELF EMPLOYED AREA #2 Lien Unit Phone: (800) 913-6050 312222906 Residence312 POPULAR AVE NEW CUMBERLND, PA 17070-1868 () c:: :p,;? C:_. i.. '7- (f-! t-..) = <= c;r. o (-, -j o "TJ :r:r:J n1r- "fIl ..r'l? -, j f:~J~;) \ 'I .>~-~ -r'~ . ..::~ c-S ~r'n ~ ;5 -< Name of Taxpayer BERNARD R & DEBRA J WERWIE I W :;p, -~,~ - co NO: bb- )l)S-1 #L / .0;- l'-J Tax Period Date of Last Da.r. for Unpaid Balance Kind of Tax Ending Identifying Number Assessment Refi ng of Assessment (a) (b) (e) (d) (e) (f) 1040 12/31/2001 XXX-XX-5308 10/18/2004 11/17/2014 19247.13 1040 12/31/2002 XXX-XX-5308 07/07/2003 08/06/2013 1040 12/31/2002 XXX-XX-5308 10/18/2004 11/17/2014 17027.72 1040 12/31/2003 XXX-XX-5308 06/07/2004 07/07/2014 1040 12/31/2003 XXX-XX-5308 02/06/2006 03/07/2016 8505.90 *******************~************* **********~************ **************** Place of Filing Prothonotary Cumberland County Carlisle, PA 17013 Total $ 44780.75 This notice was prepared and signed at DETROIT, MI , on this, the 06th day of September, 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 1 - RECORDING OFFICE Form 668 (Z) (Rev. 10-2000) CAT. NO 600261