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499 Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien
(Flev. August 1997)
District Serial Number For Optional Use by Recording Office
PENNSYLVANIA 230066057
As provided by section 6321, 6322, and 6323 of the Internal Revenue ,?I{)- 707,) p-rL
Code, we are giving a notice that taxes (including interest and penalties) ti.-# 153"&s
have been assessed against the following-named taxpayer. We have made
a demand for payment of this liability, but it remains unpaid. Therefore, )2R /0;) lfIS
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 C) co 0
e-, -n
additional penalties, interest, and costs that may accrue. c:
S. C)
Name of Taxpayer JOHN -ac- e> --
E BENNETT fllr-;-', --l
~.-2::~ " , \ '~-:'l
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C) ,'-,
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Residence ~: '--, .-,~-
16 TIFFANY DR ):0-----: ..:.-~ '~:~Ff
zl.
SHIPPENSBURG, PA 17257 r. i;?
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, ~ .r::" --
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 IRe 6325(a).
Tax Period Date of Last D?; for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refi mg of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/1996 212-46-6238 09/01/1997 10/01/2007 2128.07
1040 12/31/1997 212-46-6238 08/24/1998 09/23/2008 1942.46
1040 12/31/1998 212-46-6238 08/23/1999 09/22/2009 3089.91
1040 12/31/1999 212-46-6238 OS/22/2000 06/21/2010 2225.55
Place of Filing
Prothonotary Total $
Cumberland County 9385.99
Carlisle, PA 17013
This notice was prepared and signed at
PITTSBURGH, PA
, on this,
the
29th day of
September 2000
,
for LOIS
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<Y""'~ll",
DOWD
Title
Signature
ACS 23-01-0000
(MOTE: 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. 4091 Form 668(Y)(c) (Rev. 8-97)
Part t "Kept By Recording Office CAT. NO 60025X
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4804 Department of the Treasury -Internal Revenue Service
Form 668 (Z)
(Rev. 10-2000) Certificate of Release of Federal TaX Lien
Area: Serial Number For Use by Recording Office
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (800) 913-6050
230066057
~d. ~„c-,L~
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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 ~ ~ 4 y3
additions. Therefore, the lien provided by Code section 6321 for these taxes and ~ 2 3o ~ ys'
additions has been released. The proper officer in the office where the notice of
internal revenue tax lien was filed on October 13
2 0 0 0 is authorized to note the books to show the release of this lien for
these taxes and additions. n ~ ~
~" ~ -r,
Name of Taxpayer -~~,~~; c~ --.t
JOHN E BENNETT (~' ~_- ~ n1
Cij I- -" _?
Residence 16 TIFFANY DR ~>'f- '-~
SHIPPENSBURG, PA 17257 ~D<_~_ ~
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COURT RECORDING INFORMATION: -G ;...
Liber Page UCC No. Serial No. ~
n/a n/a n/a 00-7072 FTL
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c d (e) (f)
1040 12/31/1996 XXX-XX-6238 09/01/1997 10/01/2007 2128.07
1040 12/31/1997 XXX-XX-6238 08/24/1998 09/23/2008 1942.46
1040 12/31/1998 XXX-XX-6238 08/23/1999 09/22/2009 3089.91
1040 12/31/1999 XXX-XX-6238 05/22/2000 06/21/2010 2225.55
******** ********** ************* ********** ************ ****************
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 9385.99
This notice was prepared and signed at
the 02nd day of September
Signature
Philadelphia, PA
2009
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