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Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c)
Notice of Federal Tax Lien
IRev. February 2004)
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #3 '1? 2 rr(J
Lien Unit Phone: (800) 829-3903 200516804
As provided by section 6321, 6322, and 6323 of the Internal Revenue Ch. 118_3
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 SCOTT A WELLS
I _ i / S'T' Z
IY
Residence 600 BEACON HILL RD
NEW CUMBERLAND, PA 17070 :.
IMPORTANT RELEASE INFORMATION: For each assessment listed below, r?•>
unless notice of the lien is refiled by the date given in column (e), this notice shall, CO
on the day following such date, operate as a certificate of release as defined
in IRC 6325(a).
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)
CIVP 06/30/2002 244-17-8885 02/23/2004 03/25/2014 2092.81
CIVP 09/30/2002 244-17-8885 02/23/2004 03/25/2014 3615.73
CIVP 12/31/2002 244-17-8885 02/23/2004 03/25/2014 1516.06
Place of Filing
Prothonotary
Cumberland County Total $ 7224.60
Carlisle, PA 17013
This notice was prepared and signed at PHILADELPHIA, PA , on this,
the 12th day of November 2004
Signature J Title
ACS 23-00-0008
for L LEDER (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) Form 668(Y)(c) (Rev. 2-2004)
Part 1 - Kept By Recording Office CAT. NO 60025X
6152 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 b Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2 -e
L F F>Utz
Lien Unit Phone: (800) 913-6050 200516804 "
I certify that the following-named taxpayer, under the requirements of section 6325 (a) CA a 1 ' " 3 `t
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 k4?L,, .? a/ iL7q
"'
additions has been released. The proper officer in the office where the notice of
internal revenue tax lien was filed on December 08
2004 , is authorized to note the books to show the release of this lien for
these taxes and additions.
_
Name of Taxpayer
SCOTT A WELLS __7
t cm
Residence600 BEACON HILL RD C-n
NEW CUMBERLAND, PA 17070 = a
COURT RECORDING INFORMATION: r'o
`:-
Liber Page UCC No. Serial No. jQ
n/a n/a n/a 04-6148 FTL crt
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a (6) (C) d e) f
CIVP 06/30/2002 244-17-8885 02/23/2004 03/25/2014 2092.81
CIVP 09/30/2002 244-17-8885 02/23/2004 03/25/2014 3615.73
CIVP 12/31/2002 244-17-8885 02/23/2004 03/25/2014 1516.06
******** ********** ************* ********** ************ ****************
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 7224.60
This notice was prepared and signed at
the 21st day of November
Signature
DETROIT, MI
2007
, 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