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Department of the Treasury - Internal Revenue Service
Form 668 (Y Notice of Federal Tax Lien
wev. February zo0o4) m 720. Oy- .1.3 SY F'TL
Area: I Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA 43
Lien Unit Phone: (800) 829-3903 171877604 7d/? . v,/yvD
As provided by section 6321, 6322, and 6323 of the Internal Revenue iosL
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made a . Is-IVJ7
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 RONALD W SMITH C o
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Residence 4902 CARLISLE PIKE APT PMB 405 r
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MECHANICSBURG, PA 17050-3079 E` cn i
IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice of the lien is refiled by the date given in co lumn (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 Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refihng of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/1997 459-78-4322 12/27/1999 01/26/2010 4356.09
1040 12/31/1998 459-78-4322 05/22/2000 06/21/2010 9186.70
1040 12/31/1999 459-78-4322 06/05/2000 07/05/2010 5098.23
1040 12/31/2000 459-78-4322 11/26/2001 12/26/2011 2831.87
1040 12/31/2001 459-78-4322 05/26/2003 06/25/2013 4978.33
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
This notice was prepared and signed at
the 11th day of May
PHILADELPHIA, PA
2004
Total $
26451.22
, on this,
SignaeL Title
/? y??a?,,?
for EI JISR t? ' A(800) 829-3903 23-00-0008
(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
6152 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 #2
Lien Unit Phone: (800) 913-6050 171877604
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
7 iUv ?d.. L?
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 , I
W
internal revenue tax lien was filed on May 2 5 C*-
2004 , is authorized to note the books to show the release of this lien for
these taxes and additions. 2
21a9/-1
Name of Taxpayer C
,,
RONALD W SMITH
Residence4902 CARLISLE PIKE APT PMB 405
MECHANICSBURG, PA 17050-3079
COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No.
n/a n/a n/a 04-2355 FTL
Tax Period Date of Last D for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Ref ing of Assessment
a b) c d e f
1040 12/31/1997 XXX-XX-4322 12/27/1999 01/26/2010 4356.09
1040 12/31/1998 XXX-XX-4322 05/22/2000 06/21/2010 9186.70
1040 12/31/1999 XXX-XX-4322 06/05/2000 07/05/2010 5098.23
1040 12/31/2000 XXX-XX-4322 11/26/2001 12/26./2011 2831.87
1040 12/31/2001 XXX-XX-4322 05/26/2003 06/25/2013 4978.33
******** ********** ************* ********** ************ ****************
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Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total J$ 26451.22
This notice was prepared and signed at DETROIT, MI , on this,
the 30th day of July , 2008
Signature
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