HomeMy WebLinkAbout96-04635
606 Department of the Treasury -Intornal Revenuo Service
Form 668 (V) Notice of Federal Tax Lien
(Rev. Octobor l'J'JJI
District Serla! Number For Optlon,ll US!! llY Fi/!cordlll(] GI/let)
P(~rlnsyl vi~n 1':' :.' 3'~1().1 ()SI:l,_' , ilL " , ,
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As provided by sections 6321, 6322, and 6323 01 the Internal Revenue
Code, we are giving a notice that taxes (including Interest and penalties) t:J
have been assessed against the following-named taxpayer. We have made ,
a demand for payment 01 this liability, but it remains unpaid. Therefore, -
there Is a lien In favor of the United States on all property and rights to I, ,
property belonging to this taxpayer for the amount of these taxes, and ,
additional penalties, Interest, and cas Is that may accrue. ';
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Name 01 Taxpayerl. I LL I At1 F' CLIFFIJfj[1 -
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Residence 138 WILLOW MILL RD ..1 -
MECHAN I CSBlIllG, P:.\ !7 I-'':::S- 1/37
IMPORTANT RELEASE INFORMATION: For each assessment listed below, 'n II '-l' ,,\
unless notice of lien is refiled by the date given in column (e), this notice shall, . I
on the day following such date, operate as a certificate 01 release as defined ' " \I ITICIC.
In IRC 6325 a). 1-'11 . ') ,.,.,
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ended Identifying Number Assessment Reflllng of Assessment
(a) (b) (e) (d) (e) (I)
1040 12/3.1/90 lC~~>38-'1 513 ,2/U5/':J6 ((:3/ oe:. IU6 4342.62
1040 12/31/'J1 165-38-1.':;13 }~;/06/fD6 ()6/0S/C".':} S713.97
1040 12/31/92 165-38-1513 ,4/08/'='6 ()S/08/f"!(-) 7145.62
10'~'O 12/31/93 165.-38-1513 )4/.15/'36 (l~;/.1.S/(16 7196.73
1040 12/31/94 165-38--1 SJ. 3 i4/2;:~/96 O~~;/2:?/OG 2616.74
Place of Filing
Pt"othonot:.c.n'y Total $
Curnber'12lnd Count-y 27015.68
C.;:-u"l 1 S 1 e, P,L; 17013
This notice was prepared and signed at
Plt:tsbul'.'Jh. Pi\
, on this,
06th August
the _ day of
i~16
,19_.
Signature
for" Patt"ic;a
IYlc~na'Jet~
23--01-0000
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Title
(NOTE: Certificate of olliem oluli,orlzp-(j by law 10 lilke ,1ckl'Owl!~d!ln1f!I1;" I:', 110t l~s,,!;nll,lllO tile validity of Notice o! FE!deral Ta:w; lien
Rev. Rul. 71.466,1971 - ~ C.D. 40'3)
Part 1 . Kept By Recording Office
Form 668 (V) (Rev. 10.93)
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