HomeMy WebLinkAbout97-01214
Dlp~rtmlnl ollhl Treasury. Intimal Rlvlnul Servlcl
'Fo:m 666 (V) (c)
(Rev. Octobor 1993)
Notice of Federal Tax Lien
District Serial Number
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AI provided by IIctlonl 6321, 6322, and 6323 of the Internal Revenue
Code. we are giving a notice that taxes (Including Interest and penalties)
have been aSlelled against the followlng.named taxpayer. We have made
:.. . demand for payment of thll liability, but It remains unpaid. Therefore,
there II a lien In favor of the United States on all property and rights to
property belonging to thll taxpayer for the amount of these taxes, and
additional penaltlea, Intereat, and costs that may accrue.
Name 01 Taxpayer
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IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice of lien Is reWed 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 IRC 6325(a).
Tax Period
Ended
(b)
For Opl/on.' UI. by R.cordlng Ollie.
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Last Day for Unpaid Balance
Reflllng of Asseslment
(a) (f)
Kind ofTax
(B)
Date of
Assessment
(d)
Identifying Number
(c)
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This notice was prepared and signed at
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Signature
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Part 1 . Kept By Recording Olllce
(NOTE: Cerllllc.t. of officer .uthorlzed by I,w 10 Ilk. .cknowl.dom,nt, I, not ....nll.llo th. v.lldlly 01 Nolle. of F.der.1 T..II.n
A.v, Aul. 71.466, 1071 .2 c,a. 40;)
Form 668 (V) (e) (Rev. 10/93)
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1008
Department of the Treasury. Inlernal Rovenuo Service
Certificate of Release of Federal Tax Lien
Fonn 668 (Z)
IRev. 10.20001
Area: Seriel Number
SMALL BUSINESS/SELF EMPLOYED AREA "3
Lien Unit Phona: (412) 395-5265 239720046
I cartify that tha following.namad ta.p.y.r, und.r the r.quir.mant. of s.ction 6325 I.'
of Ih. Int.rn.r R.v.nu. Cod. h.. ..Ii.liad Ih. la... Iist.d b.low .nd .11 .t.tutory
.ddition., Th.r.'or., tho lian provid.d by Cod. .action 6321 lor tha.. I.... .nd
.ddition. h.. b..n r.I....d. Th. prop.r officar In Ih. offic. wh.r. the nOlic. 01
inl.rn.1 r.v.nu. I.. li.n was fir.d on March 10
1997 ,I. .uthorlz.d to nol. Ih. book. 10 .how the r.I.... 01 this li.n lor
Iha.. lex.. end addition..
Name 01 Taxpayer
MARGARET MARY SHELLITO
For Use b Recordin Olfice
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Residence PO BOX 871
MECHANICSBURG, PA 17055-8871
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COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No.
n/a n/a n/a 97-1214
Tax Period Date of Last Dar. for Unpaid Balance
KInd of Tax Ending Identifying Number Assessment Rem ng of Assessmenl
(a) (b) (e) (d) (a) (f)
1040 12/31/1992 276-46-1751 11/18/1996 12/18/2006 7685.29
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Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Totel $
7685.29
This notice was prepared and signed at
Philadelphia, PA
, on this,
Ihe 16th day of June 2004
Signalure - ~!~ f{.
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U::!n Title Compliance Technical Support
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(NOTE: Certificate of officer nUlhorized bV law to take ncknowlodomonls is not ossontinlto tho validity of Certificate of Relee.. of
Federal Tax lion Rov. Rul. 71.466,1971 2 C,O, 4091
Pan I . RECORDING OffiCE
Form 668 (I) IRov. 10.20001
CAT. NO 600261