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Form66B (Y)(c)
WAGE & INVESTMENT AREA ~2
Lien Unit Phone: (800) 829-7650 177789304
As provided by section 6321, 6322, and 6323 of the Internal Revenue
(:ode, we are ~iving a notice thac 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. ~herefore,
there is a lleu in favor of the United States on all property and rJ~hts to
property belonging to this ~ucpayer for the amount of these r~xes, and
additional penalties, interest, and costs that may accrue.
Name of Taxpayer DAVID B SI~IELDS
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
Serial Number For Optional Use by Recording Office
Residence
132 E LOUTHER ST
CARLISLE, PA 17013-3027
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 Day for Unpaid Bahnce
~nd of Tax Ending Identifying Number Assessment Retiring of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/1999 172-46-2770 06/05/2000 07/05/2010
1040 12/31/2000 172-46-2770 07/02/2001 08/01/2011 7680.19
1040 12/31/2001 172-46-2770 05/27/2002 06/26/2012 3971,94
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $ 11652.13
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the 17th_ day of June 2004
Sign at~.~e : ~ ZG,~Fy~/~,/j Title
. , ACS
for ~;~ ~Ut~ ~). ~j 12- 00- 0000
(800) 829-7650
(]MOTE: 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 ~68(Y)(~) (Rev. 2-2004)
Pa~ I - Kep~ By E~ordlag O~¢e CAT. NO 60025X
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 177789304
I certify that the following-named taxpayer, under the requirements of section 6325 la)
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 July 12
2004 is authorized to note the books to show the release of this lien for ~
,-- -~~- `
= -,-
=
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these taxes and additions. ~ _
~-: ~ =
,.~ -
Name of Taxpayer ~ 't~
DAVID B SHIELDS ~.
- ; .:: ~
Residence 132 E LOUTHER ST ~ r .~ ;'
CARLISLE, PA 17013-3027 -~ GJ
COURT RECORDING INFORMATION : ~~ ~ ~, t^~cccQ~~'
Liber Page UCC No. Serial No. ~
n/a n/a n/a 04-3353 FTL at/GyD/
Tax Period Date of Last Dayy for Unpaid Balance
Kind of Tax Ending Identitfying Number Assessment ReRling of Assessment
a b c d e
1040 12/31/1999 XXX-XX-2770 06/05/2000 07/05/2010
1040 12/31/2000 XXX-XX-2770 07/02/2001 08/01/2011 7680.19
1040 12/31/2001 XXX-XX-2770 05/27/2002 06/26/2012 3971.94
******** ********** ************* ********** ************ ****************
~_
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~ $ 11652.13
This notice was prepared and signed at
the 09th day of August
DETROIT, MI
2010
~_
on this,
Signature ~ A \Y~~,~~ 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 - RECORDIING OFFICE CAT. NO 600261