HomeMy WebLinkAbout11-2566Form 668 (Z) 118 8 3
(Rev. 10-2000) Department of the Treasury - Internal Revenue Service
Certificate of Release of Federal Tax Lien
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 757767111
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
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 March 02
2011 , is authorized to note the books to show the release of this lien for
these taxes and additions.
Name of Taxpayer
SCOTT B & LEAH C LEVAN
Residence 13 0 N 32ND ST
CAMP HILL, PA 17011-2919
COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No.
n/a n/a n/a 11-2566
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Tax Period Date of Last Day for Unpaid Balance
Kindr? Tax Ending Identifying Number Assessment Ref ing of Assessment
1040 12/31/2009 XXX-XX-1481 09/27/2010 10/27/2020 , 561.05
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 561.05
This notice was prepared and signed at DETROIT, MI
the 2 3 rd day of March 2011
Signature
, on this,
Title Director, Campus Compliance
Operations
%..vi o: Lernncate 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)
Part 1 - RECORDING OFFICE Form 668 (Z) (Rev. 10-2000)
CAT. NO 600261
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