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Form 668 (Y)(c)
(Rev. October 2000)
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
Serial Number
230299575
Area:
WAGE & INVESTMENT AREA #2
lien Unit Phone: (800) 829-7650
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made
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
property belonging to this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs thaC may accrue.
513 MILLER AVE
MECHANICSBURG, PA 17055-4043
For Optional Use by Recording Office
Name of Taxpayer RONALD BISHOP
Residence
IMPORTANT RELEASE IMFORMATION: For each assessment listed below,
unless notice of the 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 defined
in IRC 6325(a).
Kind of Tax
(a)
1040
Tax Period
Ending
(h)
12/31/1997
Identifying Number
(c)
214-82-8809
Date of
Assessment
(d)
10/29/2001
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Last Day for
Retiring
(e)
11/28/2011
Total $
Unpaid Balance
of Assessment
(f)
6546.67
6546.67
This notice was prepared and signed at
PITTSBURGH, PA
, on this,
the 25th day of December 2002
Signature ~/ /~ L Title
/f ACS -2-oo-oooo
for P S LANE .... .~-~J~a~_,~,/z~ (800) 829-7650
(NOT£: Certificate of officer authorized b~ law to take ~owledgment is not essential to the validity of Notice of Federal Tax lien
Rev. Rul. 71-466, 1971 - 2 C.B. 409)
Pa~ I - Kept By R~ording ~ce Form 668(Y)(c) (Rev. 10-00)
CAT~ NO 60025X
Form 668 (Z)
Area: Serial Number
WAGE & INVESTMENT AREA ~2
Lien Unit Phone: (412) 395-5265 230299575
{ certify that the following-named taxpayer, under the requirements of section 6325 (a)
of the internal Revenue Code has satisfied the taxes listed below and all statutory
additions. Therefore, the lien provided by Code section 6323 for these taxes and
additions has been released. The proper officer in the office where the notice of
internal revenue tax lien was filed on January 08
2003 , is authorized to note the books to show the release of this lien for
these taxes and additions.
Name of Taxpayer
RONALD BISHOP
100 $ Department of the Treasury - internal Revenue Service
Certificate of Release of Federal Tax Lien
ResidenceS13 MILLER AVE
MECH/LNICSBURG, PA 17055-4043
COURT RECORDING INFORMATION:
Serial No.
03-136 FTL
For Use by Recording Office
~ /qa~oo
Liber PaGe UCC No.
n/a n/a n/a
Tax Period
~nd of Tax Ending
fa) lb)
1040 12/31/1997
Dace of Iasc Day for Unpaid Balance
Identifying Number Assessment Refiling of Assessment
lc) rd) re)
214-82-8809 10/29/2001 11/28/2011 6546.67
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $ 6546.67
This notice was prepared and signed at
Philadelphia, PA
, on this,
the 10th day of September, 2003.
Signa;~e . ~
Title Compliance Technical Support
Manager
(NOTE: Certificate of officer authorized by law to take acknowledgments is not essential to the validity of Certificate of Release of
Federal Tax lien Rev. Rul. 71-466, 1971 - 2 C.B. 409)
Form &&8 (Z) (Rev. 10-2OO0)
Pa~ I - RECORDING OFFICE
CAT. NO 600261