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Department of the Treasury - Internal Revenue Service
Form 668 M(c) Notice of Federal Tax Lien
(Rev. October 20001 &. O
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #3
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Lien Unit Phone: (412) 395-5265 -
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150249303
As provided by section 6321, 6322, and 6323 of the Internal Revenue Y 7 -7
Code, we are giving a notice that taxes (including interest and penalties)
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have been assessed against the following-named taxpayer. We have made U
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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 c?
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 C SHEAFFER ?m
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Residence 198 CLAY RD Txc,?
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CARLISLE, PA 01703-7405
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) (f)
1040 12/31/1999 208-42-5275 10/06/2003 11/05/2013 5876.43
1040 12/31/2000 208-42-5275 09/29/2003 10/29/2013 6369.31
Place of Filing
Prothonotary
Cumberland County Total $ 12245.74
Carlisle, PA 17013
This notice was and signed at PHILADELPHIA, PA
prepared
on this,
the 29th day of December 2003
Slgr4ture Title
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V'. ACS 23-00-0008
for 'L LED (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 666(Y)(c) (Rev. 10-00)
Pan 1 -Kept By Recording Office CAT. NO 60025X
--*-- 6152
Form 668 (Z)
(Rev. 10-2000)
Department of the Treasury - Internal Revenue Service
Certificate of Release of Federal Tax Lien
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 150249303
1 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
additions has been released. The proper officer in the office where the notice of
internal revenue tax lien was filed on January 06
2004 , is authorized to note the books to show the release of this lien for
these taxes and additions.
Name of Taxpayer
TIMOTHY C SHEAFFER
Residence 19 8 CLAY RD
CARLISLE, PA 01703-7405
COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No.
n/a n/a n/a 04-51 FTL
Tax Period Date of
Kind of Tax Ending Identifying Number Assessment
For Use by Recording Office
4, 1- 1?.111D
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Last Dayy for
Refiling
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Unpaid Balance
of Assessment
1040 12/31/1999 XXX-XX-5275 10/06/2003 11/05/2013 5876.43
1040 12/31/2000 XXX-XX-5275 09/29/2003 10/29/2013 6369.31
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 12245.74
This notice was prepared and signed at
the 26th day of March
Signature
DETROIT, MI
2008
, 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 1 - RECORDING OFFICE CAT. NO 600261