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Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c)
(Rev. February 2004) Notice of Federal Tax Lien
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 829-3903 846387512
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on 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that 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. 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 DANNY FORRESTER
Residence 427 E KING ST
SHIPPENSBURG, PA 17257-1501 >> ?`
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 ID/..SZ) /tJ, ? • "?
in IRC 6325(a).
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Kind of Tax Tax Period
Ending
identifying Number Date of
Assessment Last Dayy for
RefI ng Unpaid Balance
of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2006 XXX-XX-6544 04/11/2011 05/11/2021 9363
89
1040 12/31/2007 XXX-XX-6544 04/11/2011 05/11/2021 .
25794.71
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 35158.60
This notice was prepared and signed at DETROIT, MI
the 31st day of January 2012
, on this,
Signature Title
C, ACS SBSE 22-00-0001
for FRED BANKS -4% (800) 829-3903
(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)
Part 1 - Kept By Recording Office CAT. 668( (Rev. 2-20041
CAT. NO 60025X
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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 by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 846387512
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 February 07 r,,
2012 , is authorized to note the books to show the release of this lien for
these taxes and additions. -r+
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Name of Taxpayer �
DANNY FORRESTER • to
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zpia. t�3-r1
Residence 4 2 7 E KING ST sY
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SHIPPENSBURG, PA 17257-1501 I
COURT RECORDING INFORMATION: 9.S0 pd -
Liber Page UCC No. Serial No.
n/a n/a n/a 12-735 , jD' 4,t/
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)
1040 12/31/2006 XXX-XX-6544 04/11/2011 05/11/2021 9363 . 89
1040 12/31/2007 XXX-XX-6544 04/11/2011 05/11/2021 25794 . 71
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•
Place of Filing
Prothonotary
Cumberland County Total $ 35158 . 60
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI , on this,
the 06th day of November 2013 .
Signature Title
OCperations Manager,
ntraliizedCasePocessing-Lien Unit
(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