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Notice of Federal Tax Lien
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AI provided by soctlons 6321, 63n, IIntl 63~) III the InlOlnnl flovonlJo ,....
Code, we aro giving a notlco Ihallaxos (Includlnu Inll're:>llllld ponllllle5) rTL
have bsen assOBSed pgalllsl tha lollowlno,nllmed 11IXPllYI)1. Wo hnvo maUo
a demnnd lor paymonl 01 this IInhlllly, hul II remulns unpuld, llwreforo, ~
there Is a lion In lavor of Iho Unllod B1nlc9 on 1111 propl'rly unullghls to
properly bolonolno 10 Ihls laxpayor lor tho umulII11 01 1IIUse lnxes, nnd
additional ponolllos, Inlerosl, IInd cosls Ihllln~IIY melllO. ..
Name 01 Taxpayor
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I ""li',O (V) oi'.., 10 "Ii
11883 Department of the Treasury - Internal Revenue Service
Form 668 (Z)
lRev. 10-20001 Certificate of Release of Federal Tax Lien
Area: Serial Number For Use b Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 239407473 941- 3ys"S
I certify that the following-named taxpayer, under the requirements of section 632.5 (a)
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of the Internal Revenue Code has satisfied the taxes listed below and all statutory E
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additions. Therefore, the lien provided by Code section 6321 for these taxes and ,
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additions has been released. The proper officer in the office where the notice of :Z =' C' f
internal revenue tax lien was filed on June 24
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1994
is authorized to note the books to show the release of this lien for
these taxes and additions,
Name of Taxpayer
JOSEPH W & JEANINE L PONCHOCK
Residence 1 JEFFERY RD
MECHANICSBURG, PA 17055-6805
COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No.
P
n/a n/a n/a no 94-3455 -2- 5a49G
Kind of Tax Tax Period
Ending
Identifying Number Date of
Assessment Last Dayy for
Refiling Unpaid Balance
of Assessment
(a) (b) (cl (d) (e1 (V
1040 12/31/1984 XXX-XX-0399 04/13/1987 05/13/1997 6229,27
1040 12/31/1985 XXX-XX-0399 08/12/1991 09/11/2001 7235.19
1040 12/31/1986 XXX-XX-0399 12/05/1988 01/04/1999 5758.92
1040 12/31/1987 XXX-XX-0399 12/12/1988 01/11/1999 855.55
1040 12/31/1989 XXX-XX-0399 11/19/1990 7.2/19/2000 7786.47
1040 12/31/1990 XXX-XX-0399 11/18/1991 1•2/18/2001 16687.62
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total I$ 44553.02
This notice was prepared and signed at Philadelphia, PA
the 08th day of December , 2010
Signature
, on this,
Title Director, Campus Compliance
Operations
(MVTE: 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 I - RECORDING OFFICE CAT. NO 600261