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! Form 668 (V) (c)
IIRIY,AUOUIII1I97) Notice of Federal Tax Lien
I Dlllrlel Serial Number
I PENNSVLVANIA ~':l'''l''llq"., I
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Ae provided by sections 6321, 6322, and 6323 of Iho Inlornol Rovonue
. I Code, we are giving e notice Ihallaxes (Including Inleresl and penoltlos)
, have been assessed agalnsllhe following-named laxpayer. We have made
la demand for paymenl of Ihls lIablllly, bul II remains unpaid, Therefore,
Ihere Is a lien In favor of Ihe Unlled Slales on ell properly and rig his 10
property balonglng 10 Ihls lexpayer for Ihe emounl of Ihese lexes, and
eddltlonal penalllea, Inleresl. and cosls Ihal mey accrue,
NlmaolTaxpayar RONALO I, ~Pllnw
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Oaparlmon! olth. Tr...ury . Inlornol Ravanua Sorvlea
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FOI Opl/on.' u.. by RKOrdlng 0_
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IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice of lien is refiled by the date given in column (e), this notice shall.
on Itfe day lollowing such date, operate as a certificate of release as defined in
IRC 6325(0).
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Tax Period Ended Idenllfylng Number
(b) (c)
Date 01
Assessmenl
(d)
en It 1<1 ;:);:'/3 "d '13~35
Lasl Day lor Unpaid Balance 01
Rellllng Asseasmant
(a) (f)
II
1040
1040
1040
12/31/1991
12/31/1992
12/31/1993
161-34-46SG
161-34-465'4
161-3,1-4659
09/H/19'48
09/21/1938
09/28/1998
10/14/2008
10/21/2008
10/28/2008
833.00 ..
2653.86
1463.20
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1,,00 · ",,".
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jThls notice was prepared and signed at
ProthorlOtary
Cumberland County
Carli.le, PA 17013
Tala'
$
4950.06
Pittsburgh, PA
, on Ihls,
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jlh 19thd f
e ay 0
JSignalUre t': )-", I 1 J'"
I for L. MRAMOl"" ..,- -->., ;-""-u
October
1998
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litle
TECHNICIAN 23-01-6857
(NOTE: Certificate of officer au/horlzed by law to taka acknowledgments is not essonllnl to tho validity of Notice 01 Fedoral Tax lien Rs".J. Rul. 71-466, 1971.2 as. 409)
PART 1 . KEPT BY RECOACING OFFICE
Fo"" 66e M (0) (Rov, 8-97)
CAT, NO 60025X