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4805
Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c)
(Rev. February 2004) Notice of Federal Tax Lien
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
422521708
Lien Unit Phone: (800) 913-6050
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including interest and penalties) Ck. / a
have been assessed against the following-named taxpayer. We have made
a demand for payment of this liability, but it remains unpaid. Therefore, .2 673 ,,
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.
t?
Name of Taxpayer BRIAN B SHANK.
Residence 15 SHERWOOD CIR C_ '` ?r
ENOLA, PA 17025-1838 -
TANT RELEASE INFORMATION: For each assessment listed below,
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!
uotice of the lien is refiled by the date given in column (e), this notice shall,
:les
s
oy following such d ate, operate as a certificate of release as defined
h
e
da
in 325(a).
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)
940 12/31/2005 23-3024686 06/05/2006 07/05/2016 447.73
941 06/30/2005 23-3024686 10/17/2005 11/16/2015 11668.60
941 09/30/2005 23-3024686 01/09/2006 02/08/2016 12979.64
941 12/31/2005 23-3024686 06/26/2006 07/26/2016 5796.85
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 30892.82
This notice was prepared and signed at DETROIT, MI
the 15th day of February 2008
, on this,
Signature A Title
REVENUE OFFICER 22-06-1442
for DAVID M. SHROYER (717) 777-9625 x1320
(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 1 - Kept By Recording Office CAT. NO 60025X
6152 Department of the Treasury - Internal Revenue Service
Form 66s (z)
(Rev. 10-2000) Certificate of Release of Federal Tax Lien
Area: Serial Number For Use b Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2 t v
0-0
A /'
Lien Unit Phone: (800) 913-6050 422521708 -W .
1 certify that the following-named taxpayer, under the requirements of section 6325 (a) C k- /,P3
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 0 lc=
°
additions has been released. The proper officer in the office where the notice of ?
internal revenue tax lien was filed on February 26 rErr C= -rv
2008 , is authorized to note the books to show the release of this lien for -?M
these taxes and additions.
Name of Taxpayer
BRIAN B SHANK ZC_; M
t
Residence 15 SHERWOOD CIR
ENOLA, PA 17025-1838
COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No,/
n/a n/a n/a 08-1258 //
Tax Period Date of Last D for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refing of Assessment
a 6 a d (041 M
940 12/31/2005 23-3024686 06/05/2006 07/05/2016 447.73
941 06/30/2005 23-3024686 10/17/2005 11/16/2015. 11668.60
941 09/30/2005 23-3024686 01/09/2006 02/08/2016 12979.64
941 12/31/2005 23-3024686 06/26/2006 07/26/2016 5796.85
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 30892.82
This notice was prepared and signed at
the 04th day of June
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 I - RECORDING OFFICE CAT. NO 600261