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04-3356
1008 Form 668 (Y)(c) (Rev. February 2004) Area: Serial Number WAGE & INVESTMENT AREA #2 Lien Unit Phone: (800) 829-7650 178347004 As provided by section 6321, 6322, and 6323 of the Internal Revenue Code, we are giving a notice that taxes (including interest and penakies) 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 WILLIAM THOMAS Residence Department of the Treasury - Internal Revenue Service Notice of Federal Tax Lien For Optional Use by Recording Office 1460 WALNUT BOTTOM RD CARLISLE, PA 17013-9143 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). 0 :.~ rn Tax Period Date of Mst Day ~r ~nd of Tax Ending Identifying Number Assessment Retiring (a) (b) (c) (d) (e) 1040 12/31/1992 210-44-6391 11/06/1995 12/06/2005 1040 12/31/1993 210-44-6391 12/19/1994 01/18/2005 1040 12/31/1996 210-44-6391 05/17/1999 06/16/2009 1040 12/31/1999 210-44-6391 05/29/2000 06/28/2010 Unpaid Balance of Assessment (f) 21517.05 341.34 3253.98 455.31 Place of Filing Prothonotary Cumberland County Carlisle, PA 17013 Total 25567.68 This notice was prepared and signed at PHILADELPHIA, PA , on this, the 23rd day of ~ature ~l- for P S LANE June 2004 Title ACS (800) 829-7650 12-00-0000 (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 ! - Kept By Recording Office CAT. NO 60025X --*-- 2447 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 by Recording Office WAGE & INVESTMENT AREA #1 Li n U it Ph ~ ~ ^~ / e n one: (800) 913-6050 178347004 ~ ~ ~ .Q '1 C/ -~. I certify that the following-named taxpayer, under the requirements of section 6325 (a) f h ~ 8~~~ o t e Internal Revenue Code has satisfied the taxes listed below and all statutory eK 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 1'~ ~~~~ ~ °'~~ internal revenue tax lien was filed on July 12 2 0 04 is authorized to note the books to show the release of this lien for these taxes and additions. Name of Taxpayer WILLIAM THOMAS Residence 1460 WALNUT BOTTOM RD CARLISLE, PA 17013-9143 COURT RECORDING INFORMATION: Liber Page UCC No. Serial No. n/a n/a n/a 04-3356 FTL t/ Tax Period Date of Last Dayy for Unpaid Balance Kind of Tax Ending Identifying Number Assessment Refiling of Assessment (aJ (bJ (c) (d) (e) (f) 1040 12/31/1992 XXX-XX-6391 11/06/1995 12/06/2005 21517.05 1040 12/31/1993 XXX-XX-6391 12/19/1994 01/18/2005 341.34 1040 12/31/1996 XXX-XX-6391 05/17/1999 06/16/2009 3253.98 1040 12/31/1999 XXX-XX-6391 05/29/2000 06/28/2010 455.31 o `~ '~=' i'r' '*t --1 ~. W ;+7~ .r" rn ~:: I ~ ~ _.i Z ~ ~ .~ '~ ~ "~ ' ~; ~ J C : fU ©~ ,~? O IV -'G Place of Filing Prothonotary Cumberland County Carlisle, PA 17013 Total ~$ 25567.68 This notice was prepared and signed at the 27th day of January Signature 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 668 (Z) (Rev. 10-2000) Part 1 -RECORDING OFFICE CAT. NO 600261