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Home My WebLink About01-2069 FX 1008 Department of the Treasury - Internal Revenue Service ./ Form 668 (Z) Certificate of Release of Federal Tax Lien (Rev. 10-2000) Area: Serial Number For Use by Recording Office SMALL BUSINESS/SELF EMPLOYED AREA #3 IlL Ryf "SiID Lien Unit Phone: (412) 395-5265 230173083 I certify th@tthe following-named taxpayer, under the requirements of section 6325 (a) CIL 51 Y 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 R.u., /31/11 additions has been released. The proper officer in the office where the notice of internal revenue tax lien was filed on April 09 2001 , is authorized to note the books to show the release of this lien for these taxes and additions. 0 0 0 c w- -n Name of Taxpayer s: "'" -uu.. v -(I SUSAN M EVERHART fT1 rr', :::tJ 1-::-':' Z:J> N "-'--1f1! Zl~~- ;-~~: .:Q,:,- m k':C C) Residence 17 0 9 ENGLISH DR ZO :31: !:-~c-; MECHANICSBURG, PA 17055-5646 0 r:? Clt1~l S>C -1 :z :.11 ;1>- COURT RECORDING INFORMATION: :::< N ~ Liber Page UCC No. Serial No. n/a n/a n/a 01-2069 FTL Tax Period Date of Last Dal. for Unpaid Balance Kind of Tax Ending Identifying Number Assessment Refi mg of Assessment (a) (b) (c) (d) (e) (f) 1040 12/31/1995 165-56-7574 09/14/1998 10/14/2008 1545.62 1040 12/31/1996 165-56-7574 09/14/1998 10/14/2008 5538.11 1040 12/31/1999 165-56-7574 OS/22/2000 06/21/2010 3309.14 ***"'1:**** **********7- ************* **********7- ************ **************** Place of Filing Prothonotary Cumberland County Total $ 10392.87 Carlisle, PA 17013 This notice was prepared and signed at Philadelphia, PA , on this, the 09th day of April 2003 SignatQ /C,.~, Title Compliance Technical Support Manager (NOTE: Certificate of officer authorized by law to ke 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) IRev, 10-2000) CAT, NO 600261 .:";1~ I'. lJi~'-'~M '--IC_'_ I-I "~~ ~. 2941 Department of the Treasury - Internal Revenue Service Form 668 (Y)(c) Notice of Federal Tax Lien (Rev. October 2000) Area: Serial Number For Optional Use by Recording Office SMALL BUSINESS/SELF EMPLOYED AREA #3 -If Of- dfJG9 frL Lien Unit Phone: (412) 395-5265 230173083 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, 0 c,.) () c: --- -n there is a lien in favor of the United States on all property and rights to -.>- :).:."7- ~,... property belonging to this taxpayer for the amount of these taxes, and -occ '-0 \11fT :;:::j additional penalties, interest, and costs that may accrue. Z:'.L.! , &55~::: '..0 Name of Taxpayer SUSAN M EVERHART C<.'- !;2c "0 ?ZC: ~.,..,. ) ~~ ,-c ~ :",j, >c:: ~ Residence 1709 ENGLISH DR Z -"-'.. ,:'0 'j::I MECHANICSBURG, PA 17055-5646 :< ('::) ~- IMPORTANT RELEASE INFORMATION: For each assessment listed below, CJ(If /J l 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 ~ ,ra-~'?o in IRe 6325(a), J, 1-' Tax Period Date of Last Dad'; for Unpaid Balance Kind of Tax Ending Identifying Number Assessment Refi mg of Assessment (a) (b) (c) (d) (e) (I) '1040 12/31/1995 165-56-7574 09/14/1998 10/14/2008 1545.62 1040 12/31/1996 165-56-7574 09/14/1998 10/14/2008 5538.11 1040 12/31/1999 165-56-7574 OS/22/2000 06/21/2010 3309.14 Place of Filing Prothonotary Total $ Cumberland County 10392.87 Carlisle, PA 17013 . This notice was prepared and signed at PITTSBURGH, PA , on this, 28th day of March 2001 the Signature./'J Title (/~~/;f;,::...L~:}2_... ACS 23-01-0008 for L G DOWD (800) 829-3903 (NOTE: Certificate of officer authorizecfby iaw tel t<:i"ke acknowledgment is not essential to the validity of Notice of Federal Tax lien Rev, Rul. 71-466,1971'2 C,B, 4091 Part 1 _ K.pt By R.cordon om Form 668(Y)(c) IRev, 10-00) I g CO CAT, NO 60025X i"lI;.,.. ['iiiJ!!l~ " -, ~ . ~ """""r1. ~ ~".