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499 Department of the Treasury - Internal Revenue Service
Form 668 (Z) Certificate of Release of Federal Tax Lien
(Rev. 10-2000)
Area: Serial Number For Use by Recordina Office
SMALL BUSINESS/SELF EMPLOYED AREA #3 #co-- 33{L) fTL_
Lien Unit Phone: (412) 395-5265 230059432
I certify that the following-named taxpayer, under the requirements of section 6325 (a)
of the Internal Revenue Code has satisfied the taxes listed below and 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 June 01 CJ ~-,
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2000 , is authorized to note the books to show the release of this lien for C -
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these taxes and additions. -Jr!::; -.-
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Name of Taxpayer C WAYNE KEECH ~:::_~- ,~,,) .- ,
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Residence PO BOX 1355 ~~~ (;
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MECHANICSBURG, PA 17055-1355 z :..,)
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COURT RECORDING INFORMATION: CK~ 1;1 q
Liber Page UCC No. Serial No. IJ,.f II 3S5L(
n/a n/a n/a 2000-3360FTL
Tax Period Date of Last Da.r. for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refi 109 of Assessment
(a) (b) (e) , (d) (e) (f)
1040 12/31/1998 207-26-3738 12/20/1999 01/19/2010 37315.28
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Place of Filing
Prothonotary Total $
Cumberland County 37315.28
Carlisle, PA 17013
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This notice was prepared and signed at
PITTSBURGH, PA
, on this,
22nd day of June
2001
the
Signature
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Title Compliance Technical Support
Manager
(NOTE: Certificate of officer authorized by law to take acknowledgments is not essential to the validity of Certificate of Release of
Federal Tax lien Rev. Ru!' 71-466, 1971 - 2 C.B. 409) Form 668 (Z) IRev. 10,2000)
Part I - RECORDING OFFICE CAT. NO 600261
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2941 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 230059432 '#-;2000 - 35bc> FTt....
As provided by section 6321, 6322, and 6323 of the Internal Revenue Cf4lt /6:;2.6{0 q
Code, we are giving a notice that ~es (including interest and penalties)
have been assessed against the following-named taxpayer. We have made ~ 4(P;)(P3
a demand for payment of this liability, but it remains unpaid. Therefore,
there is a lien in favor of the United States on all property and rights to 0 0 ~
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property belonging to this taxpayer for the amount of these taxes, and ~ .....
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additional penalties, interest, and costs that may accrue. '"1:101 ,T1F:
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Name of Taxpayer C WAYNE KEECH 'ZS;; - --:~
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Residence - 'tt'I
PO BOX 1355 ~; - ~
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MECHANICSBURG, PA 17055-1355 0
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IMPORTANT RELEASE INFORMATION: For each assessment listed below,
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
in IRe 6325(a).
Tax Period Date of Last Da~ for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refi ng of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/1998 207-26-3738 12/20/1999 01/19/2010 37315.28
Place of Filing
Prothonotary Total $
Cumberland County 37315.28
Carlisle, PA 17013
This notice was prepared and signed at
PITTSBURGH, PA
, on this,
the
09th day of May
2000
Title
Signatur~or P. WILSON i;jr;t;bi..:..L,~Ll:'jl.;4"''''''._
BRANCH CHIEF 23-01-0061
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien
Rev. Rul. 71 -466, 1971 - 2 C.B. 409) Form 668(Y)(c) (Rev. 8-97)
Part I - Kept By Recording Office CAT. NO 60025X