HomeMy WebLinkAbout97-05850
Form 666(Z)
(RIIN It 'I."
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DepArlmont 01 the Treasury. Inllroal Aovanue Servlel
Certificate of Release of Federal Tax Lien
Jillrltl
Serial Number
For Ula b Aecordln Ollie.
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I eerllly Ihatlhe lollowlog.named taxpeyer, under the requlrementl 01 leellon 6325 (a)
01 tha Interoal Ravenu. Code hal 101I.'led tha tax.I lIat.d below .nd ell Ita tutory
addlllonl, Therelore, Ih. lien provided by Code .ecllan 8321 lor th..a taxa. and
addlllonl h.. been rolea..d, Tha proper ollle.r In tha alllca where tha natlca 01
Internal revenue tax lien WI' tiled on ______ _~__.. _____~~'_:_t__~=~__'_~~..____.._~ t
, '_':'_'" I. authorlzad to nole tha book. to .how the rele..a 01 this lien lor
lhe.. ta... and addition.,
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Name 01 Taxpayar
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Auldene.
~,<l1 WILNUT P,(Hlor~ pr,
':'HIPPENSt'IJRI';, I'll 1'2'07-";:"'\
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It 5,00 pel
COllIn "H:n<lr'HIG 1^IFDHMu I la'"
l. 1 ber' "':~'1P. ',-":(. N,l,
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l:rll'I'::41 fll".
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Data 01 La.t Day lor
A.....m.nl RIIIllng
(d) (a)
C>J.# /41' 3'7
~t1 1I:l'13::2
Kind oil..
(a)
Tax Period Ended Identifying Number
(b) (c)
Unpaid Balanc. 01
A.....m.nl
(f)
t()4(1 t~2/1L/ll~q4 :?tl!1.-]tl-f.;:-~\lj~ r)'~/,IP/t9'~7 tII/I18/:'"=:'_1f1'1 4L28.88
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Place 01 Filing
Pt- n t-. tIO', t:lt. ~tt~ \I
CUfllbet'l ;':lrl.1 COUfltv
CP,"I,!:'le, Pll 17'-d7t
Total
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4128.88
This notice was prepared and signed al
~-J 1 t. t' ~ hllY"lh. Pfl
, on this,
the
,-"6t,1'"1 day of F Pt'II-F1:lt-Vl
I ~~-IE1
Signature
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Tille
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- -mOTE c~nt'i:,II" hJ"icefdurhon.'tJd by law /0 I.1.e adIttOWI~6n1' I' Mt IfSSMftJdl fa rtlfIJ lo'alt41ty 0' C.rfl'Cdt_ 01 Releas. 0' FftdII,., Ta.llfIft Rev Rul 71."66, r9i1.2 C 8 409'
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PART 1 . RECORDINQ OFFice
Fotm 161 CZl (R.-v. 8-97) A
CAT NO 600261 ~
Form 668 (V) (c) 1\"; OopJ.tmonl ~llh. Troasury . Intornal Aovonul Sorvlcl
(Rev. OclobAr 1993: Notice of Federal Tax Lien
District Sefial Number For OptJonal U.. by R'COfdinQ OffiCi
PE Nt-l';;Yl VIH'IlA ~' ! I' -I j.t 1" /~lJ, 97- 5''d50 fTL
A. provldld by ..ctlonl 6321, 6322, and 6323 of the Intarnal Revenue
COdl, WI .rl giving. noUcl that taxes (Including Interesl and penalties)
hlv, been es.....d agalnltth. followlng.namad taxpayer, We have made .
I demand for paymlnt of thle liability, but It remains unpaid, Therlfore, "
thlr. I. I lion In favor ofth. United Statn on all prop.rty and rlghll to
prop.rty belonging to thle taxpayer for thl emount of lhese taxes, and ,
Iddltlonal plnaltles, Interesl, and costllhat may accrue,
Name of Taxpayer ' ,
,lAME'; ~ 1.11 CI "UHf
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Residence S8t WALNUT POTlUl1 RO '"r"
I SHIPPENSEIUIW. PA 17257-':l61)4
,
IMPORTANT RELEASE INFORMATION: For each assessment listed below, Mt' ,(,:ClpM
unlesa nollce of lien Is reWed by the date given in column (e), this notice shall, ( ~ .... ~\ \4130"'(
on the day foliowlng such date, operate as a certificate of release as defined
In IRC 6325(a), "'" S'1</&o
, Tax Period Dati of Last Day for Unplld alllncl
I Kind of Tax Endld Identifying Number Aaaessmlnt Reflllng of Alleumlnt
j (a) Ib) Ie) Id) (e) If)
j 1()40 L,'/31194 21)4 -31)-6309 09/08/97 tOlO8/07 4128.88
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,Place of FIling
P,'othonota,'y Total S
Cumberland County 4128.88
Carlisle, PA 17013
'This notice was prepared and ,sIgned at Pit,tsbu,'>]h, PA
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the 27th day of Se~'terob"r', 19 2!...-,
,on this,
.
Signature
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Revenue OffIcer 23-0t-1455
Title
(NOTE: CorUUCllO 01 ~r lulhorlrod by
RIV, Aul, 71.4.., 1971 . ~C,B, 409)
ak. acknowJedQmtnl1 II not ISuntlallo thl ~alldilV or Nollel or Fld,r,1 Tax Iltn
Part 1 . Kept By Recording OffiCii
Form 666 I,V) (e) (Rev, 1 0/9~'
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