This document is a certificate of discharge from the Internal Revenue Service releasing a property from a federal tax lien. It provides details of the taxpayer's unpaid tax liability including the amounts owed according to three separate tax liens that were filed against the taxpayer. The certificate discharges the specific property described from the tax lien, but the lien remains in effect on all other property of the taxpayer. The certificate should be filed in the county where the original lien was recorded. Contact information is provided for any questions about the discharge.

1. DEPARTMENT OF THE TREASURY
INTERNAL REVENUE SERVICE
WASHINGTON. DC 20224
SMALL BUSINESS: SELF-EMPLOYED DIVISION
Date:
Leonard T Ashack
1900 Folsum Ste 104
Boulder. CO 80302
Dear Mr. Ashack;
Please find enclosed a Certificate of Discharge of Property from Federal Tax Lien.
This certificate should be filed in the County of record.
If you have any questions or need more information, please contact Advisor _ a t
the address or the telephone number listed below:
Internal Revenue Service
Stop: 5022
1645 S 10151
EAve Ste 226
Tulsa, OK 74128
Phone#: 918-3B411111
FaX#:866-471......
Sincerely,
Manager
Employee 10#:_
Enclosure: Form 669-8

2. Department Ofthe Treasury - Internal Revenue ServiceFOfTll 669-8 Certificate of Discharge of Property From Federal Tax Lien
(September 2008)
(Section 6325i:JH2)iA: Milie Ifife:nal Revenue Code,'
• • • • • City of _ County o_State of • • • • is indebted to the
United States for unpaid internal revenue tax in the sum of Ei,9ht hundred thirty four thousand three hundred eighty two and 34/100
D~34,~;.34)~dencedby:
Notice of Federal
Tax lien
Serial Number
Recording III/ormation Date RElCOrded Ta<payer Identification Numbe< Amount ShovJ11 on Uen
(a)
(b) (e) (d) (6)
01/04/2010 $466,762.56
11126/2012 $353.959.18
- 12/17/2012
- $13,660.60
i
A lien attaching to all the property of the taxpayer was filed to secure the amount owed The notice of lien was filed with the County
CIer1<, for County, I Sin accordance with the applicable provisions of law.
the IntemalleViet~e~~~':n~f<~:.;!~~~e;e~~~P~i~bhargeSthe above described property from the len. However, the
len remains In e ect for all other property. or rights to property, to whicl1 the lien is attached.
-----·----l·~~~jSOry Grou~-~anag-~~fOr Dir-e-ct-o-rA-I1~;tEeillii.i
.---__.•___~j_,_ ____L ______
(Note: Certificate of officer law to take acknowledgements is not essential to the validity of Discharge of
Federal Tax Lien. Rev. Rul. t71-466, 1971-2. C.B. 409.)
I
Catalog No. 16751C Fonn 669-8 (Rev. 9-2008)