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04-1257
Form 668 (Y)(c) (Rev. February 2004) Area: Serial Number SMALL BUSINESS/SELF EMPLOYED AREA #3 Lien Unit Phone: (800) 829-3903 162261004 As provided by section 6321, 6322, and 6323 of the Internal Revenue Code, we are giving a notice chat taxes (including interest and penalties) have been assessed against the following-named taxpayer. We have made a demand for payment of chis liability, buc ic remains unpaid. Therefore, there is a lien in favor of the United $~ates on all property and rights to property belonging co chis taxpayer for the amount of these taxes, and additional penalties, interest, and costs thac may accrue. Name of Taxpayer JANES K & TAH]v~ S J©NE$ Residence 1008 Department of the Treasury - Internal Revenue Service Notice of Federal Tax Lien For Optional Use by Recording Office 7 IRVINE ROW CARLISLE, PA 17013-3019 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 I. asr Day for Unpaid Balance Kind ofT ax Ending Identifying Number Assessment Reflhng of Assessment (a) (b) (c) (d) (e) 1040 12/31/1999 199-48-4253 07/10/2000 08/09/2010 3109.95 1040 12/31/2000 199-48-4253 05/28/2001 06/27/2011 5184.20 1040 12/31/2001 199-48-4253 05/27/2002 06/26/2012 5940.15 1040 12/31/2002 199-48-4253 06/02/2003 07/02/2013 6588.54 Place of Filing Prothonotary Cumberland County Carlisle, PA 17013 Total $ 20822.84 This notice was prepared and signed at PHILADELPHIA, PA , on this, the 12th day of March 2004 ~ ~/] /~/~?~y.~ · ACS 23-00-0008 for L LEDER -- (800) 829-3903 (NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the vaJldity of Notice of Federal Tax lien Rev. Rul. 71-466, 1971 2 C.B. 409) Form &&8(Y)(¢) (Rev. 2-2004) Part ! - Kept By Recording Office CAT, NO 60025X 11883 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 by Recording Office WAGE & INVESTMENT AREA #1 Lien Unit Phone: (80o) 913-6050 162261004 '/ 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 f° internal revenue tax lien was filed on March 24 C", _ 2004 , is authorized to note the books to show the re!e,& e of this lien for ? ' {, a, these taxes and additions. Name of Taxpayer JAMES K & TAMMY S JONES Residence 7 IRVINE ROW CARLISLE, PA 17013-3019 COURT RECORDING INFORMATION: Liber Page UCC No. Serial No. n/a n/a n/a 04-1257 FTL , 9/1y Kind of Tax Tax Period Ending Identifying Number Date of Assessment Last Dayy for Refiling Unpaid Balance of Assessment (a) (b) c) (d) (®) (f) 1040 12/31/1999 XXX-XX-4253 07/10/2000 08/09/2010 3109.95 1040 12/31/2000 XXX-XX-4253 05/28/2001 06/27/2011 5184.20 1040 12/31/2001 XXX-XX-4253 05/27/2002 06/26/2012 5940.15 1040 12/31/2002 XXX-XX-4253 06/02/2003 07/02/2013 6588.54 ******** ********** ************* ********** ************ **************** Place of Filing Prothonotary Cumberland County Carlisle, PA 17013 Total 1$ 20822.84 This notice was prepared and signed at -. DETROIT, MI , on this, the ____09th_ day of March 2011 Signature Title Director, Campus Compliance Operations tnw1 C: i-ertiticate 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) Part 1 - RECORDING OFFICE Form 668 (Z) (Rev. 10-200 CAT. NO 600261 F 4d