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Department of the Treasury - Internal Revenue Service
Form 668 ( Notice of Federal Tax Lien
(Rev. February 2 2004) 004)
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2 yid 'I Bv yDt
Lien Unit Phone: (800) 829-3903 336490406
As provided by section 6321, 6322, and 6323 of the Internal Revenue C!2 9 Pf/
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made 7 ys "Z
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 CUMBERLAND VALLEY SCHOOL DISTRICT
e ?
T Cl- t.,_
? r, s e
Residence 6746 CARUSLE PIKE ' r7?,?-
MECHANICSBURG, PA 17050-1796 C"
IMPORTANT RELEASE INFORMATION: For each assessment listed below r1: J'
,
unless notice of the lien is refiled by the date given in column (e), this notice shall,
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on the day following such date, operate as a certificate of release as defined
in IRC 6325(a). v
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
941 06/30/2005 23-6005324 09/26/2005 10/26/2015 28196.83
941 09/30/2005 23-6005324 12/12/2005 01/11/2016 39386.05
941 12/31/2005 23-6005324 03/13/2006 04/12/2016 39105.66
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 106688.54
This notice was prepared and signed at DETROIT, MI
the 27th day of December 2006
, on this,
Signature y ACS 22-00-0008
for REGINA OWENS (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
Form 668 (Z) 4 8 04 Department of the Treasury - Internal Revenue Service
(Rev. 10-2000) Certificate of Release of Federal Tax Lien
Area: Serial Number For Use b y Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2 n
Lien Unit Phone: (800) 913-6050
336490406 ?
d'
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 /;-8'G
additions. Therefore, the lien provided by Code section 6321 for these taxes and 9
additions has been released. The proper officer in the office where the notice of
internal revenue tax lien was filed on January 10 ?-
2007 , is authorized to note the books to show the release of this lien for
mr., x+•
these taxes and additions.
27 F c=
c"5 rnm
Name of Taxpayer
CUMBERLAND VALLEY SCHOOL DISTRICT ,e
M
-
Residence 6746 CARUSLE PIKE t
MECHANICSBURG, PA 17050-1796 C-n
COURT RECORDING INFORMATION:
Liber Page UCC No. Serial Nod.
n/a n/a n/a 07-180 d
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Willng of Assessment
(a) (b) (C) (d) (e) M
941 06/30/2005 23-6005324 09/26/2005 10/26/2015 28196.83
941 09/30/2005 23-6005324 12/12/2005 01/11/2016! 39386.05
941 12/31/2005 23-6005324 03/13/2006 04/12/2016 39105.66
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
This notice was prepared and signed at
the
18th day of July
Signature
A.
2007
DETROIT, MI
TotalJ$ 106688.54
, on this,
Title Director, Campus Compliance
Operations
(N4jIt: Gertiticate 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