HomeMy WebLinkAbout02-2375Form 668 (Y)(c)
(Rev. October 2000)
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien Ybi o.2 - a 375 . rL
Area: Serial Number For Optional Use by Recording Office
WAGE & INVESTMENT AREA #2 2 p9.?n)
7nd
Lien Unit Phone: (800) 829-7650 230289033
As provided by section 6321, 6322, and 6323 of the Internal Revenue (
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 n co 0
property belonging to this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs that may accrue.
.
7-1 -4
-rte
L
17
Z
N
f T i
ame o
axpayer DENNIS MACADAM
?z
-?.
Residence
200A N 34TH ST
0
CAMP HILL, PA 17011-2757 °
CA)
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 Refilling of Assessment
(a) (b) (c) (d) (e) f)
1040 12/31/1997 187-44-8554 06/01/1998 07/01/2008 10608.78
1040 12/31/1998 187-44-8554 05/01/2000 05/31/2010 728.10
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $
11336.88
This notice was prepared and signed at PITTSBURGH, PA
the 03rd day of May 2002
, on this,
Signature ?i?---_ J?eTitle
!•t/?: ACS 12-00-0000
for P S (800) 829-7650
(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)(e) (Rev. 10-00)
Part 1 - Kept By Recording Office CAT. NO 60025X
4804 Department of the Treasury - Internal Revenue Service
Form 668 (Z)
Certificate of Release of Federal Tax Lien
(Rev. 10-2000)
Area: Serial Number For Use by Recording Office
WAGE & INVESTMENT AREA #1 A y? W
(
Lien Unit Phone: (800) 913-6050 230289033 ,
I certify that the following-named taxpayer, under the requirements of section 6325 (a) 1 q F,9I
ch
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 May 14
M
2002 , is authorized to note the books to show the release of this lien for
these taxes and additions. -:9
Name of Taxpayer
DENNI S MACADAM
Residence 2 0 OA N 34TH ST
CAMP HILL, PA 17011-2757
COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No.
n/a n/a n/a 02-2375 FTL
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilling of Assessment
(a) (b) (c) (d) (e) f)
1040 12/31/1997 XXX-XX-8554 06/01/1998 07/01/2008 10608.78
1040 12/31/1998 XXX-XX-8554 05/01/2000 05/31/2010 728.10
******** ********** ************* ********** ************ ****************
Place of Filing
Prothonotary
Cumberland County Total $ 11336.88
,Carlisle, PA 17013
This notice was prepared and signed at Philadelphia, PA on this,
the 06th day of May 2009
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) Form 668 (Z) (Rev. 10-2000)
P?rt I - RFCORnn! 7 rt,cF117F, rAT Kin Fnn?ai