HomeMy WebLinkAbout95-00652Je f
0 aN,uq
t
P6 //, ,
r?orm 066 (Y) Department of the Treeeury • Internal Revenue Barvlce
Ilnw, oalobar 10931 Notice of Federal Tax Lien
jplslrlct Serial Number For puonel use by ec9rdmq
LI C`i?j _ (4iCj F'rL
f As provided by section@ $321, 0322, and 6323 of the Internal Revenue
Code, we ere giving s nolics that taxes (Including Interest and penalties)
have been assessed a alnst 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 texas, slid
additional penalties, Interest, and costs that may accrue.
Name of Taxpayer r'
Residence
U' L tai. X1,11
IMPORTANT RELEASE INFORMATION; For each assessment listed below,
unless notice of lien Is rallied by the date given In column (e), this notice shell,
on the day following such date, operate as a certificate of release as defined
In IGR 60011 s) (11t
Kind of Tax
Number
111`
r.
r.
rll
If`?
?'M
rr ,
i
lk.A
`Place of Filing
,This notice was prepared and signed at
i
1.
elA
Total 4 y,,
Ithe day of 1 B _
on this,
Signature Title _-
(NOTaI Gnrimcnln m omcnr OIIIIInrIJnq ny nrn m lane - .......... ............ ... -, .._..
Any. RuI. '!I 400, I0"1 0 C n 400) . Farm 889 (Y) (Rev. 10.03)
Port I • Kept By Recording Office
Form 668 (Z)
IRev. 10-2000)
2447 Department of the Treasury - Internal Revenue Service
Certificate of Release of Federal Tax Lien
Area: Serial Number For Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
1
Lien Unit Phone: (800) 913-6050 239500660 ?,
c
•
?
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 7n
t:? ?
_
?
,v
additions. Therefore, the lien provided by Code section 6321 for these taxes and C
additions has been released. The proper officer in the office where the notice of
b '? --?
a .2
ruary 07
internal revenue tax lien was filed on Fe ) r
1995 is authorized to note the books to show the release of this lien for .sC
these taxes and additions. r,' _-?tYa
Name of Taxpayer
JEFFREY D & JOANNA POLLAK
Residence424 E WINDING HILL RD
MECHANICSBURG, PA 17055-4988
COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No.
n/a n/a n/a 95-652-FTL
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) d) a (f
1040 12/31/1988 XXX-XX-4142 10/28/1991 11/27/2001 6718.64
1040 12/31/1989 XXX-XX-4142 10/21/1991 11/20/2001 15848.40
1040 12/31/1990 XXX-XX-4142 10/14/1991 11/13/2001 16705.20
1040 12/31/1991 XXX-XX-4142 10/11/1993 11/10/2003 7531.44
1040 12/31/1992 XXX-XX-4142 11/15/1993 12/15/2003 14138.53
******** ********** ************* ********** ************ ****************
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 60942.21
This notice was prepared and signed at Philadelphia, PA
the 09th day of December , 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 Tex lien Rev. Rul. 71-466,1971 - 2 C.B. 409) Form 668 (Z) (Rev. 10-2000)
Part I - RECORDING OFFICE CAT. NO 600261