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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
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (800) 829-7650 575679909
As provided by section 6321, 6322, and 6323 of the Internal Revenue
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.
Name of Taxpayer ROY L & ARIETA KIRK
For Optional Use by Recording Office
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Residence 220 SKYLINE DR
MECHANICSBURG, PA 17050-1754
IMPO:day NT RELEASE INFORMATION: For each assessment listed below,
unless ne of the lien is refiled by the date given in column (e), this notice shall,
on the following such date, operate as a certificate of release as defined
in IRC 5(a).
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) M
1040 12/31/2006 XXX-XX-3790 10/15/2007 11/14/2017 11704.47
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Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 11704.47
This notice was prepared and signed at
DETROIT, MI
the 25th day of August _ 2009
, on this,
tle
Signature A AC
11-00-0000
S
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 668(Y)(c) (Rev. 2-2004)
Part 1 - Kept By Recording Office CAT. NO 60025X
_ _ _ _ _
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11883 Department of the Treasury -Internal Revenue Service
Form 668 (Z) Certificate of Release of Federal Tax Lien
(Rev. 10-20001
Area: Serial Number For Use b Recordin Office
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (800) 913-6050 575679909
I certify that the following-named taxpayer, under the requirements of section 6325 (al
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 02 c
2 0 0 9 is authorized to note the books to show the release of this lien for N
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these taxes and additions. ~ ~
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Name of Taxpayer ~~ W
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ROY L & ARIETA KIRK ~~ c~
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Residence 220 SKYLINE DR ~"z '~' rxy
MECHANICSBURG, PA 17050-1754 ~ ,q
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COURT RECORDING INFORMATION: ~
d ~ ~-
r
Liber Page UCC No. Serial No. ~ p .
n/a n/a n/a 09-6017-FTL ~~" ~p~
Tax Period Date of Last Qay for lle»Daid Ba nce
Kind of Tax Ending Identifying Number Assessment Retl g of nt
a b) c d e f
1040 12/31/2006 XXX-XX-3790 10/15/2007 11/14/2017 11 04.47
******** ********** ************* ********** ************ ********* ******
Place of Filing
Prothonotary
Cumberland County Total $ 117 04.47
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI , on this,
the 22nd day of August ~ 2012
Signature
~~~~„~ Title
Operations Manager,
Centralized Case Processing-Lie Unit
(NOTE: Certificate of officer authorized by law to take acknowledgments is not essential to the validity of Certificate of Relea of
Federal Tax lien Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 668 (Z) (Rev. 10-2 00)
Part 1 -RECORDING OFFICE CAT. NO 600 61
Form 10916
2012)
11883 Department of the Treasury - Internal Revenue Service
Withdrawal
withdrawal of Filed Notice of Federal Tax Lien
Area:
WAGE E. INVESTMENT AREA #1
Lien Unit Phone: (800) 913 -6050
Serial Number
575679909
For Optional Use by Recording Office
THE ;
'MAR 214 All 11: 32
CUMBER'LAND COUNTY
PENNSYLVANIA
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I certify that the following -named taxpayer has met one or more of the elements
of the Internal Revenue Code (IRC) section 6323(j). The Internal Revenue Service
therefore withdraws the Notice of Federal Tax Lien for these taxes and additions.
The withdrawal of this notice of lien does not affect the statutory lien provided
by IRC section 6321; it simply relinquishes any lien priority obtained by the Internal
Revenue Service when the notice was filed. The proper official, in the office where
the Notice of Federal Tax Lien was
filed on September 02 , 2009 ,
is authorized to update the records
to show the withdrawal of the notice of lien
for these taxes and additions.
Name of Taxpayer
ROY L & ARIETA KIRK
Residence 220 SKYLINE DR
MECHANICSBURG, PA 17050 -1754
COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No.
n/a n/a n/a 09- 6017 -FTL
Tax Period
Date of
Last Day for
Unpaid Balance
Kind of Tax
Ending
Identifying Number
Assessment
Refiling
of Assessment
(a)
(b)
(c)
(d)
(e)
(f)
1040
12/31/2006
XXX -XX -3790
10/15/2007
11/14/2017
11704.47
******************
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* * * * * * * * * * * *k
* * * * * * * * * * * * * * **
Place of Filing
Prothonotary
Cumberland County Total
$ 11704.47
Carlisle, PA 17013
This certificate was prepared and signed at DETROIT, MI , on this,
the
13th day of March 2014.
Signature
Title
Operations Manager,
Centralized Case Processing -Lien Unit
Catalog Number 24586T Part 1 - Recording Office
www.irs.gov Form 10916 (2 -2012)