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--*-- 499 Department of the Treasury. Internal Revenue Service
Fonn 668 (1) Certificate 01 Release 01 Federal Tax Lien
IRev, 10.2(00)
Area: Serial Number For Use by Recordlnll Office
SMALL BUSINESS/SELF EMPLOYED AREA #3 tl (' ~& -- ~~) nil rrl-
Llen Unit Phone: (412) 395-5265 239842547 ,... Ie,.)
I oCltlfy thlt the followlng,nlmed teKpaye" under tho roqulroments 0' soctlon 6326 III
of the Intornal Revonue Codo has sltlslled tho tOKes IIstod bolow and all statutory
additions, Therofol9, the lion p,ovldod by Codo soctlon 6321 fo, thoso taKos and
Iddltlons his boen rolelsod, Tho propor offloor in tho of floe who,o tho notlco of ~)ft la') T7L5
intlrnll rovlnuo tlK lion WIS fIIod on Apr i!.2.~_____m___
1998 _, Is authorlzod to noto the books to show tho rolol.o of this lion for '\ '. n C~)
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tholo tlKes Ind Idditlons, , (~. ('" /"1
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Name of T aKpayer HELEN M MA'fTHEWS rn '," c,
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Residence 118 SUMMER LN ,!
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ENOLA, PA 17025-2149 (', ..., ,
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COURT RECORDING INF'ORMATION: "<: '-.1
Li,~~r Page UCC No. Serial No. "1(11'( -,~'X(),~
n a n'a n/a 98-2304FTL
Tax Period Dace or La.e Dal. ror UnlNlld Balance
KInd or Tu Endlnl IdenclFylnl Number As....mene Reft nl or Asse..mene
1_) (b) Ie) (d) 1-) If)
1040 12/31/1987 193-14-5141 05/30/1988 06/29/1998 2253.99
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Place of Filing
Prothonotary Total $
Cumberland County 2253.99
Carlisle, PA 17013
This notice was prepered end signed at
PI'l'TSBURGH / PA
/ on thl.,
tho __~3r~ dey of _~El.:em~=-_, 2000
Slgneturo
Title Compliance Technical Support
Manager
(NOTE: Certifioato 0' officer authorlzod by law to take acknowledgments Is not essential to the valldltv of Certificate of R.I.... of
Fodorol To. lion Rev, Aul. 71.466, 1971 .2 C,8, 409) Form AI, (Z) IRlv.tO-2000'.
',n I . R.CORDING OFFICE CAT. NO lOOtll! '
Form 888 (V) (0)
(Aey, Auguat 1997)
Department 01 the Treaeury . Internal Revenue Servle.
Notice of Federal Tax Lien
I DI.t~,~ f Serial Number .
I Aa provided by aectlonl 6321, 8322, and 6323 of the Internal Revenue
I Cod" we are giving a notice that taxes (Including Intereat and penal Ilea)
I hive been asaelled agelnst the lollowlng.nsmed taxpayer. We have made
I. a demsnd lor payment 01 thla liability, but It remains unpaid. Therefore,
there Is a lien In lavor 01 the United States on all property and rights to
I property belonging to this taxpayer for the amount of theae taxlI, and
I additional penalties, Intilrllt, and COlts that may accrue.
I NIlIle ofTupeyer '.' ,
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I IMPORTANT RELEASE !NFORMATION: For each aeeessment listed below, >fI>q ,OO~1
I unlel6 notice ot lien Is (etlled by the date given In colulT1n (e), thle notice shall, C.u..:tl 141? 4<\
I' on thl! day following such date, operate as a certificate ot release as defined In
IRC6325(ak,,'i ., . ,. p.,tl\.D5:;1.0~
. Kind ot TIX Tlx Period Ended Identifying Number Date ot Lalt Day tor Unpaid Salanol of
I (,) (b) (0) Alee(~ment Re~~J"g Ae"(Omlnt
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,This notice was prepared and signed at ____.
, on this,
the _.. 'day ot
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Signature ,a;(i~~.a;/-,- I Title
(NOTE: Cortlflotlla of offlcor authorized by law 10 tdko acknowledgments is nol esson/lallo 'ho vftlidlly of Notice 0' Fedt'JfIlI T8~ lien Rev. Ruf. 7'-466, 1971.20,8, 4M)
PART 1 - KIlPT IIV ReCOAllINQ 0"101
Form eee (V) (0) (Ray, 8.87)
CAT. NO llO()25X
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