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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
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (800) 829-7650 850546212
As provided by section 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 -am
a demand for payment of this liability, but it remains unpaid. Therefore, r nCo r?*i x :_"
there is a lien in favor of the United States on all property and rights to CO
property belonging to this taxpayer for the amount of these taxes, and r- CO CD
additional penalties, interest, and costs that may accrue. r-? ?c)
Name of Taxpayer KATHLEEN M COLVIN C-)
a5 r
_., o
Residence 487 SPRUCE RD "
NEW CUMBERLND, PA 17070-3136
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, j? S"C>t L' j
on the day following such date, operate as a certificate of release as defined
in IRC 6325(a). F 7? ,C
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2003 XXX-XX-9753 10/23/2006 11/22/2016 46418.71
1040 12/31/2004 XXX-XX-9753 10/23/2006 11/22/2016
1040 12/31/2004 XXX-XX-9753 02/08/2010 03/09/2020 38056.94
1040 12/31/2004 XXX-XX-9753 02/08/2010 03/09/2020
1040 12/31/2007 XXX-XX-9753 08/25/2008 09/24/2018 1799.11
1040 12/31/2009 XXX-XX-9753 05/31/2010 06/30/2020 489.31
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 86764.07
This notice was prepared and signed at
the 21st day of February
DETROIT, MI
2012
, on this,
Signature BiJZs?tc` ATitle
CS W&I 11-00-0000
for DEBRA K. HURST (800) 829-7650
(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
r
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
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (800) 913-6050 850546212
1 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
c:w°
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 C ~t
internal revenue tax lien was filed on February 28
2 012 is authorized to note the books to show the release of this lien for ="::k)
these taxes and additions. I`- �
Name of Taxpayer r--
KATHLEEN M COLVIN --T
ZC ��.
i;
Residence 4 8 7 SPRUCE RD t W
NEW CUMBERLND, PA 17070-3136
COURT RECORDING INFORMATION: —'
Liber Page UCC No. Serial No.
n/a n/a n/a 12-1267 .FTLc
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 12/31/2003 XXX-XX-9753 10/23/2006 11/22/2016 46418 . 71
1040 12/31/2004 XXX-XX-9753 10/23/2006 11/22/2016
1040 12/31/2004 XXX-XX-9753 02/08/2010 03/09/2020 38056 . 94
1040 12/31/2004 XXX-XX-9753 02/08/2010 03/09/2020
1040 12/31/2007 XXX-XX-9753 08/25/2008 09/24/2018 1799 . 11
1040 12/31/2009 XXX-XX-9753 05/31/2010 06/30/2020 489 . 31
******** ********** ************* ********** ************ ****************
Place of Filing
Prothonotary
Cumberland County Total $ 86764 . 07
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI , on this,
the 2 9 th day of January 2014 .
Signature Title
Operations Manager,
Centralized Case Processing-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 I - RECORDING OFFICE CAT. NO 600261