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Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien
(Rev. February 2004) W,_n Y- L y40 F 7 t -
Serial Number For Optional Use by Recording Office
Area:
SMALL BUSINESS/SELF EMPLOYED AREA #3 p
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Lien Unit Phone: (412) 395-5265 204989004 ..
As provided by section 6321, 6322, and 6323 of the Internal Revenue Ck__ q7 (e
Code, we are giving a notice that taxes (including interest and penaldes)
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have been assessed against the following-named taxpayer. We have made -
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a demand for payment of this liability, but it remains unpaid. Therefore,
time Is a Ben 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 pen&W, interest, and costs that may accrue.
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Name of Taxpayer SARA L MUNIZ
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Residence 204 S FRONT ST
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WORMLEYSBURG, PA 17043-1335 3,
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NT RELEASE INFORMATION: For each assessment listed below, Cr J
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e of the lien is refiled by the date given in column (e), this notice shall,
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following such date, operate as a certificate of release as defined
5(a).
IRC
Tax Period Date of Last D for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Re f Ung of Assessment
a b c d e
6672 12/31/2001 172-54-2167 11/08/2004 12/08/2014 7210.82
Place of Filing
Prothonotary
Cumberland County Total $ 7210.82
Carlisle, PA 17013
This notice was prepared and signed at PHILADELPHIA, PA , on this,
the 14th day of December 2004
Signature Title
iCit/ REVENUE OFFICER 23-09-1459
for CINDY SIMCOX (717) 221-3490
(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 I - Kept By Recording Office CAT. NO 60025X
Form 668 (Z)
(Rev. 10-2000)
6152 Department of the Treasury - Internal Revenue Service
Certificate of Release of Federal Tax Lien
Area: Serial Number For Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2 ?Jdl6g
Lien Unit Phone: (800) 913-6050 204989004
I certify that the following-named taxpayer, under the requirements of section 6325 (a) CfL t) loos
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
additions has been released. The proper officer in the office where the notice of
internal revenue tax lien was filed on December 28
2004
, is authorized to note the books to show the release of this lien for
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these taxes and additions. n
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Name of Taxpayer -
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SARA L MUNI Z rF -- -,
Residence204 S FRONT ST J
WORMLEYSBURG, PA 17043-1335 W
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COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No. /
n/a n/a n/a 04-6490 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)
6672 12/31/2001 172-54-2167 11/08/2004 12/08/2014 7210.82
******** ********** ************* ********** ************ ****************
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 7210.82
This notice was prepared and signed at DETROIT, MI
the 03rd day of October 1 2007.
Signature
, 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 I - RECORDING OFFICE CAT. NO 600261