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Home My WebLink About06-46041872 Department of the Treasury - Internal Revenue Service Form 668 (Y)(c) Notice of Federal Tax Lien (Rev. February 2004) . (• • ?L a y T-1 Area Serial Number For Optional Use by Recording Office : SMALL BUSINESS/SELF EMPLOYED AREA #2 0 ?,>D a/ y. 05 Lien Unit Phone: (800) 913-6050 307058606 4 7 fJ As provided by section 6321, 6322, and 6323 of the Internal Revenue Ck aao Code, we are giving a notice that taxes (including Interest and penalties) have been assessed against the follovAng-named taxpayer. We have made a demand for payment of this liability, but h 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. 'o Name of Taxpayer STEPHEN D BRINK tr ?7rr- a CD e Residence 200 E SIMPSON ST -v t ? MECHANICSBURG, PA 17055-6511 S? 4 ? rn IMPORTANT RELEASE INFORMATION: For each assessment listed below, '-1 N unless notice of the lien is refiled by the date given in column (e), this notice shall, W c on the day following such date, operate as a certificate of release as defined in IRC 6325(a). Tax Period Date of Last D for Unpaid Balance Kind of Tax Ending Identifying Number Assessment Refill ing of Assessment a (b) (c) (d (e f) 941 06/30/2003 1 23-2523132 1 05/15/2006 06/14/2016 5504.50 Place of Filing Prothonotary Cumberland County Carlisle, PA 17013 Total 1$ 5504.50 This notice was prepared and signed at the 02nd day of August DETROIT, MI 2006 on this, Signature )?- A 1 Y&&6? Title REVENUE OFFICER 22-06-1442 for DAVID M. SHROYER (717) 221-3490 x1320 (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 Form668Z Department of the Treasury - Internal Revenue Service (Rev. 10-1999) Certificate of Release of Federal Tax Lien rial Number For Use by Recording Office Small Business/Self Employed Area: 2 307058606 I certify that as to the following-named taxpayer, the requirements of section 6325 (a) of the COURT RECORDING INFORMATION Internal Revenue Code have been satisfied for the taxes listed below and for all statutory 06-4604 FTL additions. Therefore, the lien provided by Code section 6321 for these taxes and additions has 0 1-3 been released. The proper officer in the office where the notice of internal revenue tax lien was CC ` °' filed on August 10, 2006 , is authorized to note the books to show the release of this lien for these taxes and additions. Name of Taxpayer Stephen D Brink C?? ? ern Residence 200 E Simpson St o o ,,k "< Mechanicsburg, PA 17055-6511 / S c ? y 5oD ., ,? Kind of Tax Tax Period Ended Identifying Number Date of Last Day for Unpaid Balance (a) (b) (c) Assessment Refiling of Assessment (d) (e) M 941 06/30/2003 23-2523132 05/15/2006 06/14/2016 $5,504.50 Place of Filing Prothonotary Total $5,504.50 Cumberland County Carlisle, PA 17013 This notice was prepared and signed at Harrisburg, PA, on this, the_th day of May , 2009. Signature David M."Shroyer, Employee # - Revenue Officer, Phone # - (717)777-9625 (NOTE: Certificate of officer authorized by law to take acknowledgements is not essential to the validity of Certificate of Release of Federal Tar Lien Rev. Rul. 71-466, 1971-2 C.B. 409) Part 1 - Recording Office Form 668(2) (Rev. 10-1999) 4804 Department of the Treasury - Internal Revenue Service Form 66s (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 0 hl °Z) $? Lien Unit Phone: (800) 913-6050 307058606 y ' I certify that the following-named taxpayer, under the requirements of section 6325 (a) ice.. 3 P13 of the Internal Revenue Code has satisfied the taxes listed below and all statutory additions. Therefore, the lien provided by Code section 6321 for these taxes and , ? a 5 9 Q4 additions has been released. The proper officer in the office where the notice of internal revenue tax lien was filed on August 10 2006 , is authorized to note the books to show the release of this lien for (7.) these taxes and additions. Name of Taxpayer ` STEPHEN D BRINK r i "n Residence 2 0 0 E S IMPSON ST T MECHANICSBURG, PA 17055-6511 n? COURT RECORDING INFORMATION: Liber Page UCC No. Serial No. n/a n/a n/a 06-4604 FTL Tax Period Date of Last Day for Unpaid Balance Kind of Tax Ending Identifying Number Assessment R efiling of Assessment (a b) c d e f 941 06/30/2003 23-2523132 05/15/2006 06/14/2016 5504.50 ******** ********** ************* ********** ************ **************** Place of Filing Prothonotary Cumberland County Carlisle, PA 17013 This notice was prepared and signed at the 2 0 th day of May Signature DETROIT, MI Total J$ 5504.50 2009 , 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)