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5226 Department of the Treasury - Internal Revenue Service
(Rev. 1Form0-62000M 0)
(Z) Certificate of Release of Federal Tax Lien
Area: Serial Number For Use by Recordin g Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 239847013
1 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 --t
additions has been released. The proper officer in the office where the notice of rnco c-_. M_
internal revenue tax lien was filed on August 20 ?
1998 is authorized to note the books to show the release of this lien for p
these taxes and additions.
Name of Taxpayer ma c-; =C
ROSE E GAHAGAN
Residence 602 LAVINA DR
MECHANICSBURG, PA 17055-4942
COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No.
n/a n/a n/a 98-4854-FTL ?
Tax Period Date of Last Darr for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/1995 XXX-XX-5495 11/18/1996 12/18/2006 7556.41
1040 12/31/1996 XXX-XX-5495 10/27/1997 11/26/2007 8591.13
******** ********** ************* ********** ************ ****************
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 1614 7.54
This notice was prepared and signed at
the 20th day of July
Signature
Philadelphia, PA
2011,
, 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