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1872 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 #2 Ii. P41 f'$,lli)
Lien Unit Phone: (800) 913-6050 230176380
I certify that the following-named taxpayer. under the requirements of section 6325 (, CIL gQSi
of the Internal Revenue Code has satisfied the taxes listed below and all statutory ev.
additions. Therefore. the lien provided by Code section 6321 for these taxes and !77!,',57
additions has been released, The proper officer in the office where the notice of
internal revenue tax lien was filed on June 18
2001 , is authorized to note the books to show the release of this lien for
these taxes and additions. ('} ""
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Name of Taxpayer '"O~ "'"
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ALEX COSTABILE mrn J> m:!l
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Residence 12 5 0 CHERRY ORCHARD ROAD ~c -0 ::C::f'l
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DOVER, PA 17315 ""C ;z:.fri
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COURT RECORDING INFORMATION: 3 Co,.) ~
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Liber Page DCC No. Serial No.
n/a n/a n/a 01-3720 FTL J
Tax Period Date of Last Da,y for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refihng of Assessment
(a) (b) (c) (d) (e) (f)
6672 12/31/1990 186-34-3756 08/23/1993 09/22/2003 1032.03
6672 09/30/1991 186-34-3756 10/19/1992 11/18/2002 8675.72
******** '1'**********' ************* ******.***** ************ ****************
Place of Filing
Prothonotary
Cumberland County Total $ 9707.75
Carlisle, PA 17013
This notice was prepared and signed at
Philadelphia, PA
, on this,
19th day of April
2006
the
Signature
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, Rut. 71-466,1971 - 2 C,B, 4091 Form 668 (Z) (Rev, 10-20001
Part t - RECORDING OFFICE CAT, NO 600261
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499
Form 668 (Y)(c) Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
(Rev. October 2000)
Area: Serial Number For Optional Use by Plecording Office
SMALL BUSINESS/SELF EMPLOYED AREA #3 ffor-3/dO ~
Lien Unit Phone: (412) 395-5265 230176380
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including interest and penalties) 0 C'l
have been asse;:1 against the following-named taxpayer. We have made D
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a demand forent of this liability, but it remains unpaid. The~~ore, ??-:- c.._
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there is a lien in favor of the United States on all property and rig ts to rnr~-., --,..- ,
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property belonging to this taxpayer for the amount of these taxes, and S??E -
additional penalties, interest, and costs that may accrue. co ,
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Name of Taxpayer ALEX COSTABILE ~o -,,',.. :.-----;.( :>
$c 9 :- <1",'
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Residence 1250 CHERRY ORCHARD ROAD :<! f0 -<
DOVER, PA 17315
IMPORTANT RELEASE INFORMATION: For each assessment listed below, CKitJ53
unless notice of the lien is refiled by the date given in column Ie). this notice shall,
on the day following such date, operate as a certificate of release as defined ({tF//3057
in IRe 6325(a).
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)
6672 12/31/1990 186-34-3756 08/23/1993 09/22/2003 1032.03
6672 09/30/1991 186-34-3756 10/19/1992 11/18/2002 8675.72
Place of Filing
Prothonotary Total $
Cumberland County 9707.75
Carlisle, PA 17013 I.
This notice was prepared and signed at
PITTSBURGH, PA
/ on this,
the
08th day of June.
2001
Signature
Title
Revenue Officer
(717) 291-1995
23-01-1844
xl37
for C. WHITE
(NOTE: 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,8, 4091 Form 668(Y)(c) (Rev, 10-00)
Part 1 - Kept By Recording Office CAT, NO 60025X
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