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Department of the Treasury - Internal Revenue Service
Form 668 ( Notice of Federal Tax Lien
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(Rev. February 2 2004) 004) ?.(? ? 0 'a 5+L ? j
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Area: Serial Number For Optional Use by Recording Office
WAGE & INVESTMENT AREA #1 (1
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Lien Unit Phone: (800) 829-7650 466779008 C
As provided by section 6321, 6322, and 6323 of the Internal Revenue Ck 2 y 2StS
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made
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. o
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Name of Taxpayer THOMAS S FUGITT JR ran
Pl (' M
- I ?j:=
Residence 421 CLIFTON RD
SHIPPENSBURG, PA 17257-8901
IMPORTANT RELEASE INFORMATION: For each assessment listed below, ?.
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unless notice of the lien is refiled by the date given in column lel, this notice shall, l"?w
3
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on the day following such date, operate as a certificate of release as defined
in IRC 63251a1.
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Rei'lling of Assessment
(a (b) (c) (d) e) f)
1040 12/31/2000 XXX-XX-0569 08/06/2007 09/05/2017 45943.14
1040 12/31/2001 XXX-XX-0569 08/06/2007 09/05/2017 46593.51
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 92536.65
This notice was prepared and signed at DETROIT, MI
the 22nd day of August 2008
, on this,
Signature A ACS 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 validity of Notice of Federal Tax lien
Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 668M(c) (Rev. 2-2004)
Part 1 - Kept By Recording OfNce CAT. NO 60025X
4806 Department of the Treasury - Internal Revenue Service
f°r? ss8 tzy
IRev. 10•20001 Certificate of Release of Federal Tax Lien
Area: I Serial Number
WAGE lie INVESTMENT AREA #1
Lien Unit Phone: (800) 913-6050 466779008
I 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 September 05
2008 , is authorized to note the books to show the release of this lien for
these taxes and additions.
Name of Taxpayer
THOMAS S FUGITT JR
Residence 4 21 CLIFTON RD
SHIPPENSBURG, PA 17257-8901
COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No.
n/a n/a n/a 2008-05296
Tax Period
Kind of Tax Endbw
C °
-t"
J IT L_
rn
J4 f'
N rr,
;'D
f j -T
=
M
?.i <
wr
Iwo of
Aunt I Last?or I otAaturut
1040 12/31/2000 XXX-XX-0569 08/06/2007 09/05/2017 45943.14
1040 12/31/2001 XXX-XX-0569 08/06/2007 09/05/2017 46593.51
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 92536.65
This notice was prepared and signed at DETROIT, MI
the 22nd day of January , 2010
Signature
, on this,
(NOTE: Certificate of officer authorized by law to take acknowledgments is not essential to the va"ty of Certificate of Release of
Federal Tax lien Rev. Rut. 71-466, 1971 - 2 C.B. 409) Part I - RECORDING OFFICE' ?i8 (Z) (Rev. 10-20001
CAT. NO 600261 /
Title Director, Campus Compliance
Operations