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I Department of the Treasury - Internal Revenue Service
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(Rev. February 2004) Notice of Federal Tax Lien No. M - 3 D 7 F T?-
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 661049110
As provided by section 6321, 6322, and 6323 of the Internal Revenue c
Code, we are giving a notice that taxes (including interest and penalties) Q "
have been assessed against the following-named taxpayer. We have made Mr. c
a demand for a
p yment of this liability, but it remains unpaid. Therefore, ? y` :c
F -
there is a lien in favor of the United States on all property and rights to f
property belonging to this taxpayer for the amount of these taxes, and {
additional penalties, interest, and costs that may accrue. ?.
Name of Taxpayer ASHP PC, a Corporation ro =
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?
Residence 29 KELLY DR fig. ?p Od
CARLISLE, PA 17015-9001
cK?<d 3 7 6
IMPORTANT RELEASE INFORMATION: For each assessment listed below, Rtf ?J3 aW
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 Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (f)
941 09/30/2008 33-1192467 04/19/2010 05/19/2020 333.40
941 12/31/2008 33-1192467 03/01/2010 03/31/2020 5078.22
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 5411.62
This notice was prepared and signed at
the 27th day of May
DETROIT, MI
2010
, on this,
Signature -)? A "'Y?? Title
REVENUE OFFICER 22-06-1418
for JAKOB PEDERSEN (717) 777-9621
(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
11883 Department of the Treasury -Internal Revenue Service
Form 668 (Z)
(Rev. 10-2000) Certificate of Release of Federal Tax Lien
Area: Serial Number For Use b Recordin Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 661049110
I certify that the following-named taxpayer, under the requirements of section 6325 (a)
of the Internal Revenue Code has satisfiied 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 r~.a
~? ~-='
internal revenue tax lien was filed on June 07 `~
~~
2010
is authorized to note the books to show the release of this lien for ~ ~==` ..
these taxes and additions.
Name of Taxpayer ~ O ~"~~
ASHP PC, a Corporation -` ~ ~:
.
~
y ~ c
;
Residence 2 9 KELLY DR -
~~
CARLISLE, PA 170159001 ~
COURT RECOitDING INFORMATION:
Liber Page UCC No. Ser'Za1 No. ~~-LbP,d~ - ~
n/a n/a n/a 10-~707FTL ~tj~ stf
Tax Period ' Date of Last Daayy for Unpaid Balance
Kind of Tax Ending IdentiYying Number Assessment Re8ling of Assessment
a b c d s f
941 09/30/2008 33x1192467 04/19/2010 05/19/2020 333.40
941 12/31/2008 331192467 03/01/2010 03/31/2020 5078.22
Place of Filing
This notice was prepared and signed at
II'
the 28th day of July
Signature
Prothonotary
Cumberland County
Carlisle, IPA 17013
Total ~ $ 5411.62
DETROIT, MI
2010,
on this,
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 bb8 (Z) (Rev. 10-2000)
Pan 1 -RECORDING OFFlCE CAT. NO 600261