HomeMy WebLinkAbout97-02465
Irm 668 (V) (c) Dcpa~tmC'nt of tho Troasury. Intornal Rovonuo Sorvlco
lev. October 1993) Notice of Federal Tax Lien
DIstr1d ,.' ., Serial Number For Optional Uss by Rocordlng OWe,
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As provided by sections 6321, 6322, and 6323 of the Inlernal Revenue C}7 - JL/ loS FTL
Code, we ora giving 0 notice that taxes (Including Interest and penalties)
have boen assessed against the followlng.named taxpayer. We have made
a demand for payment of this liability, but It remains unpaid, Therefore, . ~} 17")
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 Ihese taxes, and ..' I
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additional penalties, Interest, and costs that may accrue. -< -
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,Name 01 Taxpayer .- '.')
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IMPORTANT RELEASE INFORMATION: For each assessment listed belolV, 'l\.q.LO,..d
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 delined (.......1.\ rJi,I<"(.~'
In IRC 6325(a).. , ,." t- " . ., . , . (, 11 ~j1Q40
Tax Period Date of Last Day for Unpeld Balance
Kind of Tax Ended Identifying Number Assessment Reflllng of Assessment
(a) (b) (c) (d) (e) (t)
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Place of Filing
Total S
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This notice was prepared and signed at
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day of
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(NOTE: Certilica!a or c!!.~ar a..!"orizeJ t,' IJ,'. U t.loO ,l,"' ::.... l''': ,---",,,~. r.1 t'~5":'::;:;"~:.' t'.v \.,' 'J.!/ d N;:!.c. 01 Federal TaJ.II.~
Alv. Aul. 71.4Ci6, ,g11 .2 C,B 4CJ)
Part 1 . KepI By fle[orJlnu O:IiCQ
Form 668 IV) (c) (Rev. 10,93)
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Fonn 668 (Z)
lRa\{. 8.971
499
Department of the Treasury - Internal Revenue Service
Certificate of Release of Federal Tax Lien
District
Serial Number
For Use b Recordin Office
PENNSYLVANIA
239725349
I certify that as to the following.name taxpayer, the requirements of section 6325 la)
of tho Internal Revenue Code have been satisfied for the taxes listod below and for
all statutory additions. Therefore. the lien provided by Code section 6321 for these
laxes and additions has been released. The proper officer in the office where the
notice of internal revenue tax lien was filed on Ma y 09
1997 . is in authorized to note the books to show the release of this lien for
these taxes and additions.
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Name of Taxpayer SCOTT A LAKE
Residence 1312 HARDING DRIVE, APT, C
HERSHEY, PA 17033
Kind of Tax
(e)
1040
COURT
Page UCC No.
n/a II/a
Tax Period
Ending
(b)
12/31/1986
******* **********
RECORDING INFORMATION:
Serial No.
97-2465FTL
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Liber
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Identifying Number
te)
211-60-6186
*************
Date of
Assessment
tdl
OS/25/1987
**********
Last Day for
Reflllng
Ie)
06/24/1997
************
Unpaid Balance
of Assessment
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3376,15
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Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $
3376.15
This notice was prepared and signed at
PITTSBURGH, FA
, on this,
the
26th day of February
1999
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Signature
Title
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CHIEF,'SPS
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(NOTE: Certificate of officer aulhorllcd by law 10 lake ilckntlwlt!dgments IS not essential to tho valtdltv of Certlllcate 01 Release 01
redar;)1 Tal( Ilcn Rev. Rul. 11.466.1971.2 C8. 4091 I
Pm 1 . RECORDING OFFICE
Fom, 668 tI) IRev, 8971
CAT, NO 600261