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Department of the Treasury -Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien
(Rev. February 2004) ~ TL
Area: Serial Number For Op Tonal Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #1
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Lien Unit Phone: (800) 913-6050 529164809
As provided by section 6321, 6322, and 6323 of the internal Revenue ~ ,~ ~ ~
Code, we are giving a notke that taxes (including interest and penaltks) z ~ 3 a ~ G
have becn assessed agah>lst the following-named taxpayer. We have made
a demand for payment of this liability, but h 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 ~ ~
addhional penah;ies, interest, and costs that may aurae.
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Name of Taxpayer ROBERT G DONALD ~
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Residence
76 E POMFRET ST 1ST FLOOR ~'
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CARLISLE, PA 17013 C~
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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 Last D for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Ref~g of Assessment
(a ~ b c d (e
1040 12/31/2000 XXX-XX-765.5 07/07/2008 08/06/201 8897.02
1040 12/31/2001 XXX-XX-7655 07/07/2008 08/06/201 10482.56
1040 12/31/2002 XXX-XX-7655 07/07/2008 08/06/201 8468.07
1040 12/31/2003 XXX-XX-7655 07/07/2008 08/06/201 5422.44
1040 12/31/2004 XXX-XX-7655 06/16/2008 07/16/201 1815.41
1040 12/31/2005 XXX-XX-7655 10/15/2007 11/14/201 2953.66
1040 12/31/2006 XXX-XX-7655 06/02/2008 07/02/201 7256.39
1040 12/31/2007 XXX-XX-7655 05/19/2008 06/18/201
~I 6633.10
Place of Filing
Prothonotary
Cumberland County To al $ 51928.65
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI , on this,
the 26th day of March 2009
Signature A ~ Title
CASE PROC MGR
21-00-0018
for PEGGY D'AMICO (866) 611-6191
(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(lf)(c) (Rev. 2-2004)
part 1 'Kept By Rewrdini Office CAT. NO 60025X
2447 Department of the Treasury -Internal Revenue Service
Form 668 (Z) Certificate of Release of Federal Tax Lien
(Rev. 10-2000)
Area: Serial Number For Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #1
Lien Unit Phone: (800) 913-6050
529164809
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VC J
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 n r,~[
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additions. Therefore, the lien provided by Code section 6321 for these taxes and t~.~
additions has been released. The proper officer in the office where the notice of
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internal revenue tax lien was filed on April 06 --
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2 0 0 9 is authorized to note the books to show the release of this lien for
these taxes and additions.
Name of Taxpayer
ROBERT G DONALD
l'1 0 ,=.
C o ~~
Residence 76 E POMFRET ST 1ST FLOOR ~~ ~-~ '~ ~
~~~-; ~ ~~
CARLISLE , PA 17 013 ==.~ - ~
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COURT RECORDING INFORMATION: =-~'4;~
-,~ e~ -fir
Liber Page UCC No . Serial No . ~ ;~.-
'
n/a n/a n/a 09-2133FTL ~
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Tax Period Date of Last Dayy for l~paialante
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b (c) (d) (e) (f)
1040 12/31/2000 XXX-XX-7655 07/07/2008 08/06/2018 8897.02
1040 12/31/2001 XXX-XX-7655 07/07/2008 08/06/2018 10482.56
1040 12/31/2002 XXX-XX-7655 07/07/2008 08/06/2018 8468.07
1040 12/31/2003 XXX-XX-7655 07/07/2008 08/06/2018 5422.44
1040 12/31/2004 XXX-XX-7655 06/16/2008 07/16/2018 1815.41
1040 12/31/2005 XXX-XX-7655 10/15/2007 11/14/2017 2953.66
1040 12/31/2006 XXX-XX-7655 06/02/2008 07/02/2018 7256.39
1040 12/31/2007 XXX-XX-7655 05/19/2008 06/18/2018 6633.10
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~ $
This notice was prepared and signed at
the 02nd day of March
DETROIT, MI
51928..65
2010
on this,
Signature ~ A ~>'ti~~~ I 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 1 -RECORDING OFFICE CAT. NO 600261