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499 Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien
(Rev. August 1997)
District Serial Number For Optional Use by Recording Office
PENNSYLVANIA 230056446 No. ~oco- GJ30t
As provided by section 6321, 6322, and 6323 of the Internal Revenue ~IL
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made 0 L-:'i
a demand for pa)'I11ent of this liability, but it remains unpaid. Therefore, n
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there is a lien in favor of the United States on all property and rights to ;::.-- -.,
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property belonging to this taxpayer for the amount of these taxes, and gJ [~,,~ co ~!:..r
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additional penalties, interest, and costs that may accrue. I . ~'"
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Name of Taxpayer JEFFREY C & VALERIE C TAYLOR ..,,:.;(-)
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Residence 334 E MEADOW DR z W1 ;;;!
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MECHANICSE,URG, PA 17055-5187 'D -<
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, cv..~ \50\5'1
' unless notice of the lien is refiled by the date given in column (e), this notice shall,
on the day following such date, operate as a certificate of release as defined R~ 90Cflo'
in IRC 6325(0).
Tax Period Date of Last D'1. for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refi 109 of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/1994 175-48-7373 03/02/1998 04/01/2008 43275.48
Place of Filing
Prothonotary Total $
Cumberland County 43275.48
Carlisle, PA 17013
This notice was prepared and signed at
PITTSBURGH, PA
, on this,
04th day of January
2000
the
Signature
for J. WHITE
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Title
Revenue Officer 23-01-1450
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Form 668 (Z)
(Rev. 8-97)
499
Department of the Treasury - Internal Revenue Service
Certificate of Release of Federal Tax Lien
District
Serial Number
For Use b Recording Office
PENNSYLVANIA
230056446
I certify that as to the following-named taxpayer, the requirements of section 6325 (a)
of the Internal Revenue Code have been satisfied for the taxes listed below and for
all statutory additions. Therefore, the lien provided by Code section 6321 for these
taxes and additions has been released. The proper officer in the office where the
notice of internal revenue tax lien was filed on February 03
2000 ,is in authorized to note the books to show the release of this lien for
these taxes and additions.
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Name of Taxpayer JEFFREY C & VALERIE C TAYLOR
Residence
334 E MEADOW DR
MECHANICSBURG, PA l7055-5l87
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COURT RECORDING INFORMATION: ~ \51,'<5
Liber Page UCC No. Serial No.
n/a n/a n/a 2000-636 FTL lZoIl q 9. 'a'T I
Tax Period Date of Last D1. for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refi mg of Assessment
(a) (b) (c) (d) (e) (f)
l040 l2/3l/l994 175-48-7373 03/02/l998 04/0l/2008 43275.48
******* ********** ************* ********** ************ ****************
Place of Filing
prothonotary
Cumberland County
carlisle, PAl70l3
Total $
43275.48
This notice was prepared and signed at
PITTSBURGH, PA
, on this,
l8th day of February
2000
the
Signature
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(NOTE: Certificate of officer.authorized-by-Iaw'to take acknowledgments is not essential to the validity of Certificate of Release of
Federal T~x lien Rev. Ru!' 71-466.1971 - 2 C.B. 409) Form 668 (Z) (Rev. 8-97)
Part t - RECORDING OFFICE CAT. NO 600261
Title
CHIEF, SPB
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