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3379
Department of the Treasury - Internal Revenue Service
Form 668 <Y)< c)
Notice of Federal Tax Lien
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For Optional Use by Recording Office
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fRev. February 2004)
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 316315806
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
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 ROBERT G & HELENE BENGEL JR
ev If' 3)(,2.-
Residence
1206 YVERDON DRIVE
CAMP HILLRLAND, PA 17011-1255
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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
in IRC 6325(a).
Tax Period Date of Last DjT. for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilng of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/1998 XXX-XX-6861 06/28/1999 07/28/2009 1481.48
1040 12/31/1999 XXX-XX-6861 OS/29/2000 06/28/2010 3094.65
1040 12/31/2000 XXX-XX-6861 OS/28/2001 06/27/2011 1340.05
1040 12/31/2001 XXX-XX-6861 OS/27/2002 06/26/2012 2830.91
1040 12/31/2002 XXX-XX-6861 OS/26/2003 06/25/2013 1919.26
1040 12/31/2003 XXX-XX-6861 05/31/2004 06/30/2014 176.84
1040 12/31/2004 XXX-XX-6861 05/30/2005 06/29/2015 238.08
1040 12/31/2005 XXX-XX-6861 OS/29/2006 06/28/2016 360.54
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $
11441.81
This notice was prepared and signed at
DETROIT, MI
, on this,
the 12th day of September, 2006
for REGINA OWENS
Title
ACS
(800) 829-3903
22-00-0008
Signature
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien
Rev, Ru/. 71-466,1971.. 2 C,8, 409)
Part 1 - Kept By Recording Office
Form 668(Y)(c) (Rev, 2-2004)
CAT, NO 60025X
--*--
11883 Department of the Treasury -Internal Revenue Service
Form 668 (Z) Certificate of Release of Federal Tax Lien
iReV. ~a-zooor
Area: Serial Number For Use by Recordin Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 31631580.&
I certify that the following-Warned 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 September 21
2 0 0 6 is authorized to note the books to show the release of this lien for _ -~ ~..~~,
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these taxes and additions. :~
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Name of Taxpayer "~~
ROBERT G & HELENE BENGEL JR '~-'---^ ~-~ -.~s
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Residence 1206 YVERDON DRIVE i~
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CAMP HILLRLAND, PA 17011-1255 ,=`~=. ,-
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COURT RECORDING INFORMATION: ~~ =...~
Liber Page UCC No. Serial No.
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n/a n/a n/a 065519FTL P U a:`~
Tax Period Date of Last Day for Einpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(al lbJ (cJ (dJ (eJ lfJ
1040 12/31/1998 XXX-XX-6861 06/28/1999 07/28/2009 1481.48
1040 12/31/1999 XXX-XX-6861 05/29/2000 06/28/2010 3094.65
1040 12/31/2000 XXX-XX-6861 05/28/2001 06/27/2011 1340.05
1040 12/31/2001 XXX-XX-6861 05/27j2002 06/26/2012 2830.91
1040 12/31/2002 XXX-XX-6861 05/26/2003 06/25/2013 1919.26
1040 12/31/2003 XXX-XX-6861 05/31/2004 06/30/2014 176.84
1040 12/31/2004 XXX-XX-6861 05/30/2005 06/29/2015 238.08
1040 12/31/2005 XXX-XX-6861 05/29/2006 06/28/2016 360.54
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~ $ 114 41.81
This notice was prepared and signed at
the 19th day of October
Signature
DETROIT, MI
2010
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 bb$ (Z) (Rev. 10-20Q(3)
Part 1 - RECORDINf OFFICE CRT. NO 60(3261