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09-1366
Form bb8 (Y)(c) IRev. February 2004) Department of the Treasury -Internal Revenue Service Notice of Federal Tax Lien y~„ _ ~, g. ~3L ~_ F rt- Area: Serial Number For Optional Use by Recording Office . WAGE & INVESTMENT AREA #1 /~ a~4'Ut! y"~ ~ Lien Unit Phone: (800) 829-7650 519679209 . -~ As provWed by section b321, b322, and 6323 of the internal Revenue . 33.Sb Cfz Code, we are givin8 a notke that taxes (including interest and penalties) _ have been assessed against the t'oUoMring-named taxpayer. We have made ~ ~ ~ ~ ~' ~ 9 a demand for payment of thh liability, but h remains unpaid. 71~erefore, there is a lien ht favor of the lJnited States on all property and rights to property belonging to this taxpayer for the amount of these taxes, and addh:ional pen~dties, Mterest, and costs that may accrue. Name of Taxpayer MARK R BLAHUSCH ~ o t e~? s ,_ ~ ; sue. ~' ~ ~ ~a r` Residence 1044 WALNUT ST APT 2 ~' ~ = r .~- { ~. ~ ~ ~ LEMOYNE , PA 17 0 4 3 -14 3 3 ' IMPORTANT RELEASE INFORMATION: For each assessment listed below, ~ N unless notice of the lien is refiled by the date given in column (e), this notice shall, O ~ on the day following such date, operate as a certificate of release as defined t7~ in IRC 8325(a). Tax Period Date of Last Daayy for unpaid Balance Kind of Tax Ending Identifying Number Assessment Retiling of Assessment a b c d e 1040 12/31/1998 XXX-XX-7227 05/06/2002 06/05/2012 6904.43 1040 12/31/1999 XXX-XX-7227 06/05/2000 07/05/2010 3797.75 1040 12/31/2000 XXX-XX-7227 12/03/2001 01/02/2012 5202.06 1040 12/31/2001 XXX-XX-7227 06/03/2002 07/03/2012 851.10 1040 12/31/2004 XXX-XX-7227 06/06/2005 07/06/2015 421.69 Place of Filing Prothonotary Cumberland County Carlisle, PA 17013 Total ~$ 17177.03 This notice was prepared and signed at DETROIT, MI the 24th day of February 2009 on this, Signature ~ A \Y~ZA~~~ 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. 409i Form bb8(1f)(t) IRev. 2-2004) Part 1 - Kq~t 8Y Recording Office CAT. NO 60025X 3460 Department of the Treasury -Internal Revenue Service Form 668 (Z) Certificate of Release of Federal Tax Lien IRev. 10-2000) Serial Number For Use by Recording Office Area: WAGE & INVESTMENT AREA #1 Lien Unit Phone: (800) 913-6050 519679209 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 x ; ,-...~ ~_- V internal revenue tax lien was filed on March 04 c "' ~ N ' 2 0 0 9 is authorized to note the books to show the release of this lien for ~ ~ rT1 ~ ~ rY1 these taxes and additions. ~ ~~ © .„,~ ~ . ''G~^n ~ Name of Taxpayer ~~ ~ ~ " ' ~ ~ ~~ ~ MARK R BLAHUS CH ' ' 3~ c`; 3C _ e: ~ ~ ~ a '~ r Residence 1044 WALNUT ST APT 2 ~'~ '' '" , ~ .;_ LEMOYNE, PA 17043-1433 ` ' ~.~ _ COURT RECORDING INFORMATION: Liber Page UCC No. Serial No. n/a n/a n/a 09-1366 Tax Period Date of Last Dayy for Unpaid Balance Kind of Tax Ending Identifying Number Assessment Refiling of Assessment 1040 12/31/1998 XXX-XX-7227 05/06/2002 06/05/2012 6904.43 1040 12/31/1999 XXX-XX-7227 06/05/2000 07/05/2010 3797.75 1040 12/31/2000 XXX-XX-7227 12/03/2001 01/02/2012 5202.06 1040 12/31/2001 XXX-XX-7227 06/03/2002 07/03/2012 851.10 1040 12/31/2004 XXX-XX-7227 06/06/2005 07/06/2015 421.69 ******** ********** ************* ********** ************ **************** Place of Filing Prothonotary Cumberland County Carlisle, PA 17013 Total ~$ 17177.03 This notice was prepared and signed at DETROIT, MI the 14th day of November 2 012 _ , on this, ~9.5o Po ~T ~# a83 µ1o1 Signature Title ~~~''~C-,~-~ Operations Manager, Centralized Case Processing-Lien Unit (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