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Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien
(Rev. February 2004) 7L&U'7- 3aloo -1
Serial Number For Optional Use by Recording Office
Area:
SMALL BUSINESS/SELF EMPLOYED AREA #2 P
Lien Unit Phone: (800) 829-3903 366307607
As provided by section 6321, 6322, and 6323 of the Internal Revenue CjL
we are giving a notice that taxes (including interest and penalties)
Code
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have been assessed against the following-named taxpayer. We have made /9347Y
a demand for payment of this liability, but it remains unpaid. Therefore,
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 rv
a
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additional penalties, interest, and costs that may accrue.
Name of Taxpayer DONALD P JOHNSON
to
Residence 430 HIGH ST -V -7C
ENOLA, PA 17025-3105
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, ^t' "<
lien is refiled by the date given in column (e), this notice shall,
ng such date, operate as a certificate of release as defined
Tax Period Date of Last Day for Unpaid Balance
Kind of T ax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) c) (d) (e) (f)
1040 12/31/2001 XXX-XX-2485 04/19/2006 05/19/2016 9354.69
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 9354.69
This notice was prepared and signed at
the 22nd day of May
DETROIT, MI
2007
, on this,
Signature
?./ A ?f,PQ ATitle
CS 22-00-0008
for REGINA OWENS (800) 829-3903
(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.B. 409) Form 668(Y)(c) (Rev. 2-2004)
Part 1 - Kept By Recording Office CAT. NO 60025X
Form 668 (Z) 4 8 0 5 Department of the Treasury - Internal Revenue Service
(Rev. 10-2000) Certificate of Release of Federal Tax Lien
Area: Serial Number For Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 366307607
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
additions. Therefore, the lien provided by Code section 6321 for these taxes and t7 tA
'
G Q 7
additions has been released. The proper officer in the office where the notice of ?
internal revenue tax lien was filed on `" May 31
2007 , is authorized to note the books to show the release of this lien for - -Q 14.2
these taxes and additions.
Name of Taxpayer
DONALD P JOHNSON
Residence 4 3 0 HIGH ST
ENOLA, PA 17025-3105
COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No.
n/a n/a n/a 01-3260
Tax Period Date of Lott Day for UNUM gaynce
Kind of Tax Ending Identifying Number Assessment Inng of Amessment
a b c d s f
1040 12/31/2001 XXX-XX-2485 04/19/2006 05/19/2016 9354.69
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
This notice was prepared and signed at
the 11th day of February
Signature
2009
DETROIT, MI
Total 1$ 9354.69
, on this,
Title Director, Campus Compliance
Operations
(NUM 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) pbttfi see ilj,=,wr?!o.,at3 ??
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