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Dlpartmanl 01 Ihl Tra8lury . Intlrnal Rlvanul Sarvlel
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Form 66B (Y) (c)
(Rev, October 1993)
Dlslrlct
Notice of Federal Tax Lien
Serial Number
For Opl/onal Uti by Recording Ort/c. .
1\10 , <Ill:-. ;)l(,l~ trL I' .
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A' provided by ,ecllone 6321, 6322, and 6323 01 the Internal Revenue
Code, we ere giving e nollce that taxes (Including Interest end penalties)
have baen ....lIad against tha lollowlng.nomed texpeyer. We hove mede
1 e demand lor payment 01 this liability, but It ramalns unpeld. Tharefore,
there I' e lien In lavor ollhe Unltad Statas on all property and rights to
: property belonging to thl, laxpayer lor the amount 01 these taxes, and
. i eddlllonal plnallles, Inter..t, and coats that may accrue.
Name 01 rexpayer 1 ," '''' :.
j.l:il I. I,! ,( 'i' i ,i
Resldance
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IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unlass notice of lien Is reflled by the date given In column (e), Ihls notice shall,
on the day lollowlng such date, operate os a certllicate 01 release as dellned
In IRC 6326(a).
Tax Period
Ended
(b)
i'- t1 ''l,
(&15
Unpaid Balance
01 Assellmenl
(f)
""
Kind olTax
(8)
Idenlllylng Number
(e)
Dote 01
Assessment
(d)
Lost Day lor
Rellllng
(0)
'--"41
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Placa 01 Filing
.1.1
Total $
,:.,'i4',,'.. 4()
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This noUce was prepared and signed at
, on Ihla,
en,
, :
the
day 01
,19_.
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Title
,',I,
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( li 1~(nt.1t 0 0 l{c.i '-uiiiollild by I.~ 10 lokl .,knuwlldgmlnl. I. nol 1..lnlllllo Ihl valldlly 01 NolI,a 01 Fadl,a' TuUln
Rlv. Rul, 71.466, 1871 .'1I'C',0, 4e81
Port 1 . Kept By Recording Office Form 668 (V) (0) (Rev. 10193)
Form 668 (Z)
IRev. 10.20001
1008
Dopnrtll1onl 01 tho TrlloslIJY . h1\llrnol Rllvllnllll SlIIvh:1l
Certificate of Release of Federal Tax Lien
Aron: Surinl NlIlI1hur
SMALL BUSINESS/SELF EHPLOYED AREA 113
Lion Unll Phono: (412) 395-5265 21""(1l;;~nj
I certify thot tho lollowlng-nomed to:<(POVDr, undur tho ruquifulI1unls 01 KUI~lltlll 0326 In)
of tho Intornol Rovonuo Codo has sotisfied tho 101(05 lislud hlllnw null nil slntutury
odditlonl, Thoroloro, tho lion providod by Codo soctlon 6321 111I th"No tn'"a 1\1111
additions hos boon reluBsod. Tho propor officer in tho ulllen whtlln thu noth:n ut
Intornol rovonuo to, lion waa lilod on ___.~~y...14
1996 . I. outhorilOd 10 noto Iha book. to show tho rolona. 01 tlna hon lur
Iholo to.OI ond additions,
Nomo 01 To~poyor
RONALD C TRITT
RON TRITTS GENERAl, STORE
Fur Uno h RIll:urdlll Ollieo
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Rosldonc063 CARLISLE RD
NEWVILLE, PA I7~41-Y415
Kind of Tax
(II)
941
941
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COURT
Page UCC No.
n/a n/a
Tax Period
Endlns Idendfylns Number
Ib} (e)
12/31/1994 25-1689752
09/30/1995 25-1689752
..........,.",.........
RECORDING INFORMATION:
Serial No.
no96-2673ftl
Liber
n/a
Date of Last Day for
Assessment Renllns
(d) (II)
02/12/1996 03/14/2006
02/05/1996 03/07/2006
........*.~.*.*........
Unpaid BalJnce
of Assessment
ffJ
3374.18
3575.22
................
Place 01 Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Totol $
6949.40
This nOlico wos propared ond slgnod ot
Philadelphia, PA
,on thll,
1110
31st. doy of
December 2003
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Signohi\1l -ft-I;
(I) ;'1I'11.':-0.R...
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C'(~;I :-rJL t'l./
Tlllo Compliance Technical Support
Manager
(NOTEI Cllflllu:lIll1III lI11I1;U' ilulhlllllllll hv Ii....~ lu1ilkn lu:knowlmlllllllllllb lSlmt U1i51l111i11110 11m validJlV or Cer1UlcalD 01 AIIII.I of
rlllltllltl 11U hltll nuv. Ihll. 11 460. l!1l1 2 cu. oHHH
rut I . R[CORDIIIC orrrCt
FOIIl1 661 (1IlAev, 10.20001
CAT, NO e00261
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