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Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien
(Rev. February 2004)
Area: Serial Number For Optional Use by Recording Office
WAGE & INVESTMENT AREA #1 f 4"/9.Uro
Lien Unit Phone: (800) 829-7650 405316607 d P
As provided by section 6321, 6322, and 6323 of the Internal Revenue diS3Y
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made a Chi too ct
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.
Name of Taxpayer BRIAN J FLEISCHMAN
Residence 224 S 17TH ST
CAMP HILL, PA 17011-5509
IMPORTANT RELEASE INFORMATION: For each assessment listed below,
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 Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilling of Assessment
(a (b) (c) (d) e) M
1040 12/31/2001 XXX-XX-4969 03/26/2007 04/25/2017 16297.48
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Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 16297.48
This notice was prepared and signed at DETROIT, MI
the 22nd day of November 2007
on this,
Signature
)K? A ATitle
CS 11-00-0000
for DEBRA K. HURST (800) 829-7650
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the vaualty OT rvouce or reumai I CA IIV(I
Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 66SM(c) (Rev. 2-2004)
Part 1 - Kept By Recording Office CAT. NO 60025X
Form 668 (Z) 2447 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
WAGE & INVESTMENT AREA
Lien Unit Phone: (800) 913-6050
405316607
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I certify that the following-named taxpayer, under the requirements of section 6325 (a) Sc
?f
of the Internal Revenue Code has satisfied the taxes listed below and all statutory '?L
C1c
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
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internal revenue tax lien was filed on December 05 /
2007 , is authorized to note the books to show the release of this lien for
these taxes and additions.
Name of Taxpayer
BRIAN J FLEISCHMAN
Residence224 S 17TH ST
CAMP HILL, PA 17011-5509
COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No.
n/a n/a n/a 077340
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(al (b) (C) (d) (e) (f)
1040 12/31/2001 XXX-XX-4969 03/26/2007 04/25/2017 16297.48
******** ********** ************* ********** ***** ******* ****************
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Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 16297.48
This notice was prepared and signed at
the
Signature
fi.
DETROIT, MI
2010
, on this,
Title Director, Campus Compliance
Operations
03rd day of February
%...,. c: ueruncare or orricer autrnonzed 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