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Form 668 (V) t.~3b Department ollhe Troasury . Internal Revanue Service
IRe..., October 1993) Notice of Federal Tax Lien
Dlstrlcl Serial Number For Optiona' Usa by Recording O/flce
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As provided by sections 6321, 6322, and 6323 of the Internal Revenue H~3 i=1L
Code, we are giving a notice that taxes (Including Interest and peneltles)
have been assessed sgalnstthe followlng.named taxpayer. We have made
e demand for payment of this liability, but It remains unpaid. Therefore, =
there Is a lien In favor of the Unlled States on all property and rights to ,-'.: ..
property belonging to this taxpayer for the amount of these taxes, and ::X,1
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additional penalties. Interest, and costs that may accrue. ,......
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Name of Taxpayer c::>
CA~L 3- 8EVEF:L Y POFfTNBE.RGER . JO 1 Nl ;. ;1.., ..
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Residence .' 0";"1
464 ALLENVIEW DR :: ~'" -
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MECHANICSBURG, PA 17055-6167 ... -~ CoD
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, nq,OOpd
unless notice of lien Is reWed by the date given In column (e), this notice shall,
on the day lollowlng such date, operate as a certificate of release as defined ~LUI 79F?'/.:J.
In IRC 6325 aI, ({ II ;) :'530
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ended Identifying Number Assessment Reflllng of Assessment
, (a) (b) (c) (d) (a) (f)
, 6672 12/31/91 (H) 164 -28-0081 12/14/92 0111 3/03 93860.91
(W)I71-30-6715
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:Place of FIling
Prothonotary Total $
Cumberland Coun t\' 93860.91
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This notice was prepared and signed at
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(NOTE: Certificate of olllcer aulhorlzed by law 10 tllka acknowtedgmenls is not ossen!l.1l to the ...alidity 01 Nolico 01 Federal TBlC lien
Rov. Rut. 7'.466. 1971 ,2 C.B. 409)
Part 1 . Kept By Recording Olllce
Form 668 (V) (Rev. 10-93)
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Form 668 (1)
IRe..., 10-20001
1872
Department of the Treasury - Internal Revenue Service
Certificate of Release of Federal Tax Lien
01'
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA n3
Lien Unit Phona: (800) 913-6050 239502073
I certify Ihat the lollowlng-named taxpayer. under Ihe requirements 01 saction 6325 (
of the Internal Revenue Code has satlslled the taxes listed below and all statutory
additions, Therelora, the lien provided by Code section 6321 lor these taxes and
additions has been raleased, The proper ofllcer In the office where the notice of
Inlernal revenue lax lien was flied on March 22
1995 ,Is aUlhorlzed to nole the books 10 show the release of Ihls lien lor
these laxes and additions.
Name of Taxpayer
CARL & BEVERLY POFFENBERGER (JOINT)
For Use b Racordln Offlca
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,2,,-, /l,rN3
Kind of Tax
fBI
6672
COURT
Page UCC No.
n/a n/a
Tax Period
Endlna
(bl
12/31/1991
******** **********
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Residence464 ALLENVIEW DR
MECHANICSBURG, PA 17055-6167
RECORDING INFORMATION:
Serial No.
95-1483-FTL
Liber
n/a
Identlfylna Number
fel
164-28-0081
*************
Date of
Assessment
(dl
12/14/1992
**********
Last Day for
Reftllna
fBI
01/13/2003
************
Unpaid Balance
of Assessment
(fJ
93860.91
****************
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $
93860.91
This notice was prepared and slgnad at
Philadelphia, PA
, on this,
the 11th day 01 September. 2005
Signature
~dA/ a fI~
Title Director, Campus Compliance
Operations
(NOTE: Certificate 01 officer authorized by law to loke acknowlodgmonls is not essontinl to tho validity 01 Certificato 01 Roloaso 01
Federal T8x lian Rev. Ru!. 71-466. 1971 . 2 C.8. 4091
Port I - RECORDING OFFICE
Form 668 (Z) IRev. 10.20001
CAT. NO 600261