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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
0
i
Ph
441135408
one: (800) 913-605
Lien Un
t !! 11
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including interest and penalties) -?3
have been assessed against the following-named taxpayer. We have made
a demand for payment of this liability, but it remains unpaid. Therefore, .
in favor of the United States on all property and rights to
there is a lien
.
property belonging to this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs that may accrue. -
Name of Taxpayer BRIAN B SHANK
Residence 15 SHERWOOD CIR -
ENOLA, PA 17025-1838 i
NT RELEASE INFORMATION: For each assessment listed below,
e of the lien is refiled by the date given in column (e), this notice shall,
F
following such date, operate as a certificate of release as defined
t
1
RC
5(a).
Tax Period Date of Last Day fo r
n Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refil
g of Assessment
(a) (b) (c) (d) (e) M
940 12/31/2006 23-3024686 04/07/2008 05/07/2018 618.14
941 03/31/2007 23-3024686 03/31/2008 04/30/2018 4158.90
941 06/30/2007 23-3024686 03/31/2008 04/30/2018 12112.96
941 09/30/2007 23-3024686 02/04/2008 03/06/2018 6054.39
941 12/31/2007 23-3024686 04/07/2008 05/07/2018 7318.41
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total J$ 30262.80
This notice was prepared and signed at DETROIT, MI
, on this,
the 25th day of April _ 2008
Signature0 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 i ax lien
Rev. Rul. 71-466, 1971 - 2 C.B. 409)
Part 1 - Kept By Recording Office CAT. 668( (Rev. 2-2004)
CAT. NO 60025X
6152 Department of the Treasury - Internal Revenue Service
Form 668 (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
441135408
t
$ Flub
-P
Lien Unit Phone: (800) 913-6050 .
i
I certify that the following-named taxpayer, under the requirements of section 6325 (a)
7
A 3 9/
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 2 I a ????
additions has been released. The proper officer in the office where the notice of
internal revenue tax lien was filed on May 05
2008 , is authorized to note the books to show the release of this lien for
these taxes and additions.
Name of Taxpayer
BRIAN B SHANK
C'a rv
Residence 15 SHERWOOD CIR cxl?
ENOLA, PA 17025-1838
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COURT RECORDING INFO TION: Crl
Liber Page UCC No. Serial No.
-
n/a n/a n/a 08-2864-FTL
Yr r,,
-? {
Tax Period Date of Last Darr for ll>6 jtaid
Kind of Tax Ending Identifying Number Assessment Refilling oi?
a b a d e
940 12/31/2006 23-3024686 04/07/2008 05/07/2018 618.14
941 03/31/2007 23-3024686 03/31/2008 04/30/2018 4158.90
941 06/30/2007 23-3024686 03/31/2008 04/30/2018 12112.96
941 09/30/2007 23-3024686 02/04/2008 03/06/2018 6054.39
941 12/31/2007 23-3024686 04/07/2008 05/07/2018 7318.41
******** ********** ************* ********** ************ ****************
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total J$ 30262.80
This notice was prepared and signed at
DETROIT, MI
the 17th day of July , 2008
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