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11799
Department of the Treasury - Internal Revenue Service
Certificate of Release of Federal Tax Lien
Form 668 (Z)
(Rev. 10-20001
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 239314251
I certify that the following-named taxpayer, under the requirements of section 6325 (al
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 August 31
1993 ,is authorized to note the books to show the release of this lien for
these taxes and additions.
Office
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Name of Taxpayer
CHARLES W & ELIZABETH A SUMMERS
Liber
n/a
COURT RECORDING INFORMATION:
DCC No. Serial N9.
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Residence 3 05 BERKSHIRE ROAD
MECHANICSBURG, PA 17055
of. /'_,
Page
144
Tax Period Date of Last Da.r. for Unpaicf'liala-ife
Kind of Tax Ending Identifying Number Assessment Refi ng of Assessment
(a) (b) (e) (d) (e) (I)
1040 12/31/1992 569-54-8782 08/09/1993 09/08/2003 3493.92
******** ********** ************* ********** ************ ****************
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $
3493.92
This notice was prepared and signed at
Philadelphia, PA
, on this,
the
28th day of January
2007
Signature
Title Direct<;>r, Campus Compliance
Operat~ons
(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. Ru!' 71-466, 1971 - 2 C.B. 409)
Part 1 . RECORDING OffiCE
Form 668 (Z) (Rev. 10-2000)
CAT. NO 600261