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Department of the Treasury -Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien
(Rev. February 2004} . t7 ~- C~/ C~~ g i<T L
A Serial Number For Optional Use by Recording Office
rea:
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (800) 829-7650
383591307 ~~~~
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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 ~, ~ ~i ? ~ 5 ~
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
additional penalties, interest, and costs that may accrue. ~ _'
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Name of Taxpayer TIMOTHY L STARNER - ~- ~- ---r
_ ~~ E.
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Residence 9 W MAIN ST APT 2W - ,
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MECHANICSBURG, PA 17055-6264 -_ ~. ~=r":'
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IMPORTANT RELEASE INFORMATION: For each assessment listed below,
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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 IRC 6325(a).
Tax Period Date of Last Dayy for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2002 XXX-XX-7017 09/11/2006 10/11/2016 29890.64
1040 12/31/2003 XXX-XX-7017 09/11/2006 10/11/2016 51683.85
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 81574.49
This notice was prepared and signed at DETROIT, MI
on this,
the 09th day of August 2007
Signature A ~ Title
ACS 11-00-0000
for DEBRA K. HURST (800} 829-7650
(1~IOTE: 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)
Part 1 - Kit sY Recording Office Form 668(Y)(c) (Rev. Z-2004)
CAT. NO 60025X
118 8 3 Department of the Treasury - Internal Revenue Service
Form 66e (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 383591307
y v
I certify that the following-named taxpayer, under the requirements of section 6325 (a) p
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 1= r;
additions has been released. The proper officer in the office where the notice of XX C--) -,r-
internal revenue tax lien was filed on August 21 U?? CA) Oq
2007 , is authorized to note the books to show the release of this lien for r"$
these taxes and additions. > 30,
c7 =
t7
Z
Name of Taxpayer A.? F
TIMOTHY L STARNER
w?
Residence 9 W MAIN ST APT 2W
MECHANICSBURG, PA 17055-6264
COURT RECORDING INFORMATION :
Liber Page UCC No. Serial No.
n/a n/a n/a 2007-04968 a ?i9o 7
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilling of Assessment
(a) W (c) (d1 (e) M
1040 12/31/2002 XXX-XX-7017 09/11/2006 10/11/2016 29890.64
1040 12/31/2003 XXX-XX-7017 09/11/2006 10/11/2016 51 683.85
******** ********** ************* ********** ************ ****************
Place of Filing
Total J$ 81574 .4 9
Prothonotary
Cumberland County
Carlisle, PA 17013
This notice was prepared and signed at
DETROIT, MI
the 24th day of November 2010
Signature
, on this,
Title Director, Campus Compliance
Operations
4401
(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