HomeMy WebLinkAbout97-01830
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Form 666 (Yl (c)
,Rev, October 1993)
District
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Depa~lment 01 the Treasury - Internal Revenue Servlco
Notice of Federal Tax Lien
Serial Number
PENNSYLVANIA 239722232
As provided by sections 6321, 6322, ond 6323 of the Internal Revenue
Code, we ore giving a notice that taxes (Including Intercst and penaltlcs)
have been assessed agolnst the following-named taxpaycr. We have made
a demand for payment of this liability, but It rcmalns unpaid. Thereforc,
there Is a lien In favor of the United States on all propcrty ond rights to
property belonging to this taxpayer for the amount of thcse taxcs, end
additional penalties, Interest, and costs that may occrue.
)Name of Taxpayer ROBERT C SHEELY
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\Resldence
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253 E CRESTWOOD DR
CAMP HILL, PA 17011-1204
For Opl/onol Use by Rccordlng 011I..
No. q1- \~2D ~1L
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IMPORTANT RELEASE INFORMATION: For cach asscssmentlisted 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 relcase as defined
In IRC 6325(a).
Tax Period
Ended
(b)
1i9.COrxJ
cu-'tlll'" 'i!1JJ7
p. il f:v1J""
Last Day for Unpaid BalBne.
Rellllng of Assessment
(e) (f)
Kind ofTax
(8)
Identifying Number
(e)
Date of
Assessment
(d)
1040
12/31/89 210-40-3277
OS/21/90
06/20/00
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,Place of Filing
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Prothonotary
Cumberland County
Carlisle PA 17013
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:Thls notice was prcparcd and slgncd at P; t.t.<;hm'llh T PA
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,the 12th day of March
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ISlgnature fd' 1!l<2.1>. fil Cc.cI1<l-1."'..... ".: Title
for PATRIt'l~ BEiLEJEWSKI-ACi!
,
70886.70
Total $
70886.70
. on this,
MANAGER 23-01-0000
Part 1 - Kept By Recording Office
(NOTE: Certlllcale of oUlcor authorized by law 10 take acknowledgments Is not ossentlal to the validity 01 Notice 01 Federal Tax lien
RIV, Rul, 71-466. 1971 ,2 c,e, 409)
Form 668 (Y) (e) (Rev, 10/9"
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