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07-5142
Form 668 (Y)(c) (Rev. February 2004) 4 Department of the Treasury -Internal Revenue Service Notice of Federal Tax Lien .~~ . o ~ - s~ y z ~TL Area: Serial Number For Optional Use by Recording Office WAGE & INVESTMENT AREA # 1 /~ ~ P ~~, (Tp Lien Unit Phone: (800) 829-7650 384768507 d , ~ T As provided by section 6321, 6322, and 6323 of the Internal IRevenue ~ iG ~~~ Code, we are ghring a notke that taxes (htKludh~g interest and penalties) have been assessed ag~st the follawin~-named taxparyrer. We Gave made ~ i 9 ~ yg/ a demand for payment of this Eabigty, but h remains unpaid. Therefore, there is a Yen ~ favor of the United States on a0 propert)r and rights to _ ~ p property beloyhitg to tli~ tatcpaq/sr for the amount of these taxes, and ~.. --~ - additional penalties, interest, and costs that may accrue. ~ , `"f ~ ~ ~l -r ~ ~ r1~ -~ c . i- Name of Taxpayer IAN M SMITH `yn,; Iv -~°c,~'-+ - ~ p ,-> i \ - 4y , J Residence PO BOX 477 ~~= © J "} NEW KINGSTOWN, PA 17072-0477 ~ ~ .c- w -< Ilrl'ORTA1rT ItELEJ1SE INFORMATION: For each assessment fisted below, unless notice of the lien is refiled by the date given in coiumn le), this notice sttall, on the day following such date, operate as a certificate of release as defined in IRC 63251a). Tax Perbd Date of Last ppa~ir for unpaid salmce Kind of Tax Ending Identifying Number Agent Re fiiit>t of Assesanent a b c d e 1040 12/31/2004 XXX-XX-6591 07/04/2005 08/03/2015 7591.45 Place of Filing Prothonotary Cumberland County Carlisle, PA 17013 Total I $ This notice was prepared and signed at the 15th day of August DETROIT, MI 7591.45 2007 on this, Signature ~ A ~Yti~~~ Title ACS 11-00-0000 for DEBRA K. HURST (800) 829-76.50 (NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the vafidlty of Notice of Federal Tax lien Rev. Rul. 71-466, 1971 - 2 C. B. 409) Form. ~68(n(c) (Rev. 2-2004) Part 1 - KWt ~- t'llsp CAT. NO 60025X Form 668 (Z) (Rev. 10-2000) 11883 Department of the Treasury - Internal Revenue Service Certificate of Release of Federal Tax Lien Area: WAGE & INVESTMENT AREA #1 Lien Unit Phone: (800) 913-6050 Serial Number 384768507 For Use by Recording Office F Cif- THE Pf?041-1014AVC: 2014 tiAR —3 PM 2: 04 CUMBERLAND COUNTY PENNSYLVANIA rt Ps.) I certify that the of the Internal additions. Therefore, additions has internal revenue 2007 following-named taxpayer, Revenue Code has the lien provided been released. The tax lien was filed , is authorized to note additions. under the requirements of section 6325 (a) satisfied the taxes listed below and all statutory by Code section 6321 for these taxes and proper officer in the office where the notice of on August 28 the books to show the release of this lien for these taxes and Name of Taxpayer IAN M SMITH Residence PO BOX 477 NEW KINGSTOWN, PA 17072-0477 COURT RECORDING INFORMATION: Liber Page UCC No. Serial No. n/a n/a n/a 07-5142-FTL Kind of Tax (a) Tax Period Ending (b) • Identifying Number (c) Date of Assessment (d) Last Day for Ruffling (40 Unpaid Balance of Assessment (f) 1040 ******* 12/31/2004 *********** XXX-XX-6591 ********************** 07/04/2005 08/03/2015 * 7591.45 ***************** Place of Filing Prothonotary Cumberland County Total Carlisle, PA 17013 . $ 7591.45 MI This notice was prepared and signed at DETROIT, , on this, the 19th day of February , 2014. Signature Title Operations Manager, Centralized Case Processing-Lien Unit (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