HomeMy WebLinkAbout97-00435
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Departmont of the Treesury . Internal Ravenuo Servico
Certificate of Release of Federal Tax Lien
Office
1008
Form 668 (I)
IRev, 1().20001
For Uso b
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Area:
WAGE & INVESTMENT AREA #2
Lien Unit Phone: (412) 395,5265
Seriel Number
239717982
I certify th.tthe following.n.m.d t.xp.yer. und.r the r.quir.ments of s.ction 6325 1.1
of the Int.rn.l R.v.nu. Cod. h.s s.tisfi.d th. t.x.. list.d b.low .nd .11 st. tutory
.ddition.. Th.r.for.. th. li.n provid.d by Code s.ction 6321 for th.se t.x.. .nd
.ddition. h.. b..n r.l....d. Th. prop.r offic.r in the ollic. wh.re the notice of
intern.1 rev.nue t.x lien w.. fiI.d on January 27
1997 . i. .uthoriz.d to not. the book. to show th. r.I.... of this lien for
th.s. t.x.. .nd .ddition..
Name of Taxpayer
JON C SHAHAN
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Residence207 WHITMER RD
SHIPPENSBURG, PA 17257-9694
COURT RECORDING INFORMATION:
Page UCC No. Serial No.
n/a n/a 97-435 FTL /
Tax Period
Ending
(bl
12/31/1993
12/31/1994
12/31/1995
...**.*. .......... ....*....*...
:-.~
-c'
Liber
n/a
Last Day for
Reflllng
(el
06/28/2005
07/05/2005
06/19/2005
.*.*.**..*..
Un~ld Balance
of Assessment
(fl
1120,01
4265.08
5902,32
................
KInd of Tax
(01
1040
1040
1040
Identifying Number
(el
184-48-3593
184-48-3593
184-48-3593
Date of
Assessment
(dl
OS/29/1995
06/05/1995
OS/20/1995
..........
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $
11287.41
This notice was prepared and signed at
Philadelphia, PA
, on this,
the 02nd d.y of _ June __ 2004
Sig ture .. "..f.
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Title Compliance Technical Support
Manager
(NOTE: CcrllllcillO of olllcm authorllcd by law 10 lako acknowlctlOlTlcnlS is not ossential to the validity of Certificate of Release of
Fodoral T.l. IIUIl Rnv. Rill. 71 466. 1971 .2 C.B. 4091
Plrt I - RECORDING OFFICE
Form 668 (Z) IRov, 10.20001
CAT, NO 600261
, Department 01 the Treasury. Internal Revenue Service
Form 668 (V) (c) ,
(Rev, October 1993) Notice of Federal Tax Lien
District Serial Number For Opl/onal Usa by Record/nil Oil/c.
, -"1;'1 _,' ,': \_','~,\' ::.\ . , ", I\~
As provided by sections 6321, 6322, snd 6323 of the Internal Revenue
Code. we are giving a notice that taxes (Including Interest and penalties) QI--43S FR
have been 88sessed against the fOllowlng.named taxpayer, We have made
a demand for payment of this liability, but It remains unpaid, Therefore, (-', _C1 ,-)
there Is a lien In favor of the United States on all property and rights to -.J "
property belonging to this taxpayer for the amount of these taxes, and _. !
additional penalties, Interest, and costs that may accrue, (, . ,"n
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i Name of Taxpayer \ "-.1 I~
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' Residence ,J.' ::-? ::.5
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::.d1 P"UoC['.!Jf'/o , j;.t-\ -' -..J CO
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, 11 Cf,uu;>d
unless notice of lien Is reliled by the date given In column (e), this notice shall. tu.Jl I >'::''lO3
i on the day following such date, Operate as a certificate of release as defined
i In IRC 6325(a), p.tl 1/.,,9\
; Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ended Identifying Number Assessment Reflllng of A8Ie8lment
(a) (b) (e) (d) (e) (f)
1('4' . 12 <~ L/;;.::; ...'34- :~tl-.3S'.:V? 1)5-' 2(3/~JS ("5. 28/ ~IS 112').01
1:).1(' .L~'.' ~il.' 'J'l J G4-l~8 -35~2 1=.6/(1~~ "3:~ (/7/0S/05 4265.08
1':140 .L ~~/ :!-!...'-3~ 18.'- 4';3--:"5',;I! (l~:. 2'. .I ::M' 06'.19/1)5 5902.32
,
Place of FIling
? I' 0:1 '.: h nl: j ~..~:,." ",' Total $
,: Jj 'I; t. i~ t. 1 ,_~" C fJ!.... ~ :. \' 11287.41
;~- a(' I , :: 1 (l , FA 1 7f~j, =1
This notice was prepared and signed at
~I ; , " '.' r.J , I ,'.I
, on this,
the 1 Jt."day of
J ;.t') J'", r',' 19 '
I --":"',
Signature
Title
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!'liiN.:\(jER 23-1)1-'f)l)OO
(NOTE: Cerllllealo of olllea, aUlhol/lOd by law 10 laka aeknowlodgmonlll, nol o..onllallo Iho Yalldlly of Nolleo 0' Fodo,al Tax lion
Aoy. Aul, 71.466, 1971 . 2 c,a, 409)
Part 1 . Kept By Recording Office
Form 668 (V) (e) (Rev, 10/93)
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