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Department of the Treasury - Internal Revenue Service
Form 666 (y)(c) Notice of Federal Tax Lien
(Rev. October 2000) 720.Od • J090 FTA--
Serial Number For Optional Use by Recording Office
Area:
SMALL BUSINESS/SELF EMPLOYED AREA
Lien Unit Phone: (412) 395-5265
230285265
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As provided by section 6321, 6322, and 6323 of the Internal Revenue 10?
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made /z ydO
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. r
Name of Taxpayer CHARLES J & MICHELLE W BENDER
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Residence 203 GEORGETOWN RD
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MECHANICSBURG, PA 17050-1821 ! =;;• -''
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ORTANT RELEASE INFORMATION: For each assessment listed below, C-
ss notice of the lien is refiled by the date given in column (el, this notice shall,
he day following such date, operate as a certificate of release as defined
E
C 6325(al.
i
T ax Period Date of Last D for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Ref ing of Assessment
(a) (b) (c) (d (e f
1040 12/31/1996 187-44-9790 09/15/1997 10/15/2007
1040 12/31/1996 187-44-9790 02/08/1999 03/10/2009 299.21
1040 12/31/1997 187-44-9790 09/21/1998 10/21/2008 3495.77
1040 12/31/1998 187-44-9790 05/24/1999 06/23/2009 4888.49
1040 12/31/1999 187-44-9790 09/18/2000 10/18/2010 2069.57
1040 12/31/2000
1 187-44-9790 09/24/2001 10/24/2011 896.26
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total I$ 11649.30
This notice was prepared and signed at
PITTSBURGH, PA
, on this,
the 25th day of February , 2002
Signature Title
/ ;? REVENUE OFFICER 23-08-1441
for DE?tNT ,-P.I (717) 221-3490 x1310
(NOTE: Certificate of officer authorized by law to taXe 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. 1
CAT. NO 60025X
25X
Form 668 (Z) 6152 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
230285265 ,,.6/I
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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 Cle- -13 3J
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 05
2002 , is authorized to note the books to show the release of this lien for
these taxes and additions.
Name of Taxpayer
CHARLES J & MICHELLE W BENDER -- i
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Residence203 GEORGETOWN RD '?'` can
MECHANICSBURG, PA 17050-1821
.
COURT RECORDING INFORMATION: 'j F
Liber Page UCC No. Serial No.
n/a n/a n/a 02-1090 FTL o -c
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 12/31/1996 XXX-XX-9790 09/15/1997 10/15/2007
1040 12/31/1996 XXX-XX-9790 02/08/1999 03/10/2009 299.21
1040 12/31/1997 XXX-XX-9790 09/21/1998 10/21/2008 3495.77
1040 12/31/1998 XXX-XX-9790 05/24/1999 06/23/2009 4888.49
1040 12/31/1999 XXX-XX-9790 09/18/2000 10/18/2010 2069.57
1040 12/31/2000 XXX-XX-9790 09/24/2001 10/24/2011 896.26
******** ********** ************* ********** ************ ****************
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 11649.30
This notice was prepared and signed at Philadelphia, PA
the 02nd day of April 2008
Signature Q y??D p/
, 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