HomeMy WebLinkAbout97-01533
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Form 668 (V) (c)
(Rev, October 1993)
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District
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Dep",tmenl ollhe Treasury. Inlernal Revenue Service
Notice of Federal Tax Lien
Serial Number
For Opl/onal Usa by Record/ng 011/C8
I~l), qi-1533 FTl
! As provided by aectlons 6321, 6322, and 6323 of the Internal Revenue
i Code, we are giving a notice that taxes (Including Interest and penalties)
I have been assessed against the followlng.named taxpayer. We have made
I 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
I property belonging to this taxpayer for the amount of these taxes, and
addltlonel penalties, Interest, and costs that may accrue.
IName of Taxpayer
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jResldence
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IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice of 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 delinfld
In IRC 6325(a).
Tax Period
Ended
(b)
Kind of Tax
(a)
Identifying Number
(e)
Date of
Assessment
(d)
$Q. DLJrcl
c.l...:d 1I'1->S3.:l.
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Last Day for Unplld Bllanc.
Reflllng of Aesessment
(e) (Q
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,Piace of Filing
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ITh1s notice was prepared and signed at
Total $
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, on this,
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day of
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(HOTE: Corllfle.l. of off/c.r .ulhorlz.d by law 10 lake .eknowl.dgm.nls Is nol ..s.nllallo the valldlly 0' Nolle. 0' Fed.ral Tull.n
R.v. Rul. 71,466,1971 .2 C,B. 409)
Part 1 . Kept By Recording Office
Form 668 (V) (c) (Rev. 10/9-
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Form 666(Z) ? 1
(Rev.8.97)
Department 01 the Treaaury . Inlernal Revenue Service
Certificate of Release of Federal Tax Lien
"
Dlatrlct
Serial Number
For Uae by Recordln OHlce
PE~IN~3'fLVAN [II '2:J'~1'2lU'-: t
I certify that the lollowlng.named taxpayer, under the requlrementa 01 aectlon 6325 (a)
01 the Internal Revenue Code haa aatlalled the taxea lIated below end ell atetutory
addltlona. Therelore, the lien provided by Code aectlon 6321 lor theae texes and
additions has been relaased. The proper oHlcar In the oHlce whare the notice 01
Internsr revenue tax lien was flied on M" t'~' h ?" ,
l 997, la authorized to note the books to ahow the release 01 this lien lor
these taxes and additions.
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Name 01 Taxpeyer
P AUL I~ & SIILL Y 'lE r HI)U!l~':
Realdence
28 N. 21ST STREET
CAMP HILL. PA 17011
COURT RECORDING INFORMAl ION:
Liber Paqe UCC Nn.
nla nla n/eo
s~,. 1 =.t 1 ~I,:'l.
97-J:'.3::J FTl (.uil/<t'd131 FW- U':l'1;l.q
Date 01 Last Day lor Unpaid Balance 01
Asseaament Rellllng Aaaeasment
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JI. Kind 01 Tax
(a)
Tax Period Ended Identifying Number
(b) (c)
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'_. 1040 12/31/1984 t88-32-3tS4
*.....* *.******.** **.*********
o3/ng! 1987 04/' '8/1997 8('96.25
****.****.. ************ *..*..*.........
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Place 01 Filing
Prothorlo1:i:lr'V
Cunlbet'l and Count.v
Carlls!.. PA 17nJ3
Total
$
8096.25
This notice was prepared and signed at
p 11'1.eh"r"h. PJ\
. on this,
the
(I(;t.h day of F~'h"~lJ~t"v,
Jr,/?Ej
Signature
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Title
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<':HIF.F. ~pp.
(NOTE: CerMrcats of offiCef'IJuthonz9d by law to raka ack.nOWf men!' I, not e.sentlal to lhtf validity ofC"rlific.s'e o( Rolea,e of FedeflJI T,u lien Rev. Rut. 7'-468, '971.2 C.B. 409)
PART 1 . RECORDING OFFICE
Form sail (Z) (Rev, s,en
CAT, NO 600281