HomeMy WebLinkAbout02-3614Form 668 (Y)(c)
(Rev. October 2000)
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien 72 O.z
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #3
Lien Unit Phone: (412) 395-5265 230292081
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
property belonging to this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs that may accrue.
. 3G / y F_7-1-
Use by Recording Offi
11/ . IIV.ub
9c(. ?
71
CP2 .2 :2 %
/a •7FA'
Name of Taxpayer STANLEY H GRIMWOOD I I I (7) r-
'
C
ii
r-
Residence 499 SAMPLE BRIDGE RD r.) r
ENOLA, PA 17025-1025
IMPORTANT RELEASE INFORMATION: For each assessment listed below, ;-
unless notice of the lien is refiled by the date given in co lumn (el, 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 Dayy for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Ill ng of Assessment
(a) (b) (c) (d) (e) (f)
940 12/31/1999 25-1825990 04/08/2002 05/08/2012 1246.76
940 12/31/2000 25-1825990 04/01/2002 05/01/2012 2975.43
940 12/31/2001 25-1825990 04/01/2002 05/01/2012 1126.65
941 06/30/2000 25-1825990 05/21/2001 06/20/2011 1749.76
941 09/30/2000 25-1825990 05/21/2001 06/20/2011 241.64
941 12/31/2000 25-1825990 05/21/2001 06/20/2011 5015.90
941 03/31/2001 25-1825990 10/08/2001 11/07/2011 2761.53
941 06/30/2001 25-1825990 10/08/2001 11/07/2011 2686.21
941 12/31/2001 25-1825990 03/25/2002 04/24/2012 1581.96
Place of Filing
Prothonotary Total $
Cumberland County 19385.84
Carlisle, PA 17013
This notice was prepared and signed at PITTSBURGH, PA on this,
the 09th day of July 2002
Signatur Title
( REVENUE OFFICER 23-08-1448
for J I (717) 221-3490 x1220
(NOTE: Certificate of officer authorized by law tot a 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. 10-00)
Part 1 - Kept By Recording Office CAT. NO 60025X
Form 668 (Z) 6152 Department of the Treasury - Internal Revenue Service
(Rev. 10-2000) Certificate of Release of Federal Tax L
Area: Serial Number r g >" Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 23029208 1 2109 JUL 27 PYI 2: 3
2
1 certify that the following-named taxpayer, under the requirements of section 6 325 (a)
of the Internal Revenue Code has satisfied the taxes listed below and all st atutory
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 July 2 dU d 1 41
2002 , is authorized to note the books to show the release of this lien for dd 1
?5_. _f
these taxes and additions. Gk 4
Name of Taxpayer /Z 146 a ?g
STANLEY H GRIMWOOD III
Residence 4 9 9 SAMPLE BRIDGE RD
ENOLA, PA 17025-1025
COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No.
n/a n/a n/a 02-3614 FTL
Tax Period Date of Last D for Unpaid Balance
Kind of Tax Ending identifying Number Assessment Ref ing of Assessment
o b c) d e f
940 12/31/1999 25-1825990 04/08/2002 05/08/2012 1246.76
940 12/31/2000 25-1825990 04/01/2002 05/01/2012 2975.43
940 12/31/2001 25-1825990 04/01/2002 05/01/2012 1126.65
941 06/30/2000 25-1825990 05/21/2001 06/20/2011 1749.76
941 09/30/2000 25-1825990 05/21/2001 06/20/2011 241.64
941 12/31/2000 25-1825990 05/21/2001 06/20/2011 5015.90
941 03/31/2001 25-1825990 10/08/2001 11/07/2011 2761.53
941 06/30/2001 25-1825990 10/08/2001 11/07/2011 2686.21
941 12/31/2001 25-1825990 03/25/2002 04/24/2012 1581.96
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 193 85.84
This notice was prepared and signed at DETROIT, MI
the 16th day of July , 2009
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