HomeMy WebLinkAbout11-5721Form 668 (Z) 11883 Department of the Treasury - Internal Revenue Service
(Rev. 10-2000) Certificate of Release of Federal Tax Lien
Area: Serial Number For Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 798735211 G
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I certify that the following-named taxpayer, under the requirements of section 6325 (a) _
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of the Internal Revenue Code has satisfied the taxes listed below and all statutory rn
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additions. Therefore, the lien provided by Code section 6321 for these taxes and = G
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additions has been released. The proper officer in the office where the notice of Wr- r%) t
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internal revenue tax lien was filed on July 18 7 G
2011 is authorized to note the books to show the release of this lien for y"?.C-
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these taxes and additions. .
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Name of Taxpayer
PETER & SONIA, A KHOURI w
Residence 5 NORTHWATCH LANE
MECHANICSBURG, PA 17050
COURT RECORDING INFORMATION : < ev) VW . ? .
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Liber Page UCC No. Serial No. j
n/a n/a n/a 11--5721-FTL }4 ;? G 3,5"?j'
Tax Period Date of Last Dayy for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2007 XXX-XX-3748 11/22/2010 12/22/2020 36925.79
1040 12/31/2008 XXX-XX-3748 11/22/2010 12/22/2020 51 995.69
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 88921.48
This notice was prepared and signed at
the 18th day of August
Signature
DETROIT, MI
2011
, on this,
Title Director, Campus Compliance
Operations
(NV It: 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