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2802 Department of the Treasury - Internal Revenue Service
form 668 (Y)(c) Notice of Federal Tax Lien
(fjev. August 1997)
District Serial Number For Optional Use by Recording Office
PENNSYLVANIA 230061323 () Cl C)
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As provided by section 6321, 6322, and 6323 of the Internal Revenue :';,"" ~ "
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Code, we are giving a notice that taxes (including interest and penalties) mr',-: :t) -
have been assessed against the following-named taxpayer. We have made z::u ,'0
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a demand for payment of this liability, but it remains unpaid. Therefore, I~~ -~.
there is a lien in favor of the United States on all property and rights to ~ "
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property belonging to this taxpayer for the amount of these taxes, and -
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additional penalties, interest, and costs that may accrue. .. -.--'
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Name of Taxpayer GLENDA DANILSHENKO (1")
IiF-OO~ &te3 f:'TL-
Residence 11 W MAIN STREET f$90O
REINHOLDS, PA 17569
IMPORTANT RELEASE INFORMATION: For each assessment listed below, C/(tt'153;2 03
unless notice of the lien is refiled by the date given in column Ie), this notice shall, '~ 100430
on the day following such date, operate as a certificate of release as defined
in IRe 6325(a).
Tax Period Date of Last Dm; for Unpai4'BJlance
Kind of Tax Ending Identifying Number Assessment Refilng of Asse~$ment
(a) (b) (c) (d) (e) .(0,
6672 12/31/1999 178-42-1748 06/16/2000 07/16/2010 '1,.7930.75
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Place of Filing
Prothonotary Total $
Cumberland County 17930.75
Carlisle, PA 17013
This notice was prepared and signed at
PITTSBURGH, PA
I on this,
the
lOth day of August
2000
Title
Signature ..L:2. _
for J. MAR~~. a U.:
Revenue Officer 23-01-1448
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien
Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 668(Y)(c) (Rev. 8-97)
P.rt 1 . Kept By Recording OffIce CAT. NO 60025X
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2917 Department of the Treasury - Internal Revenue S,ervice
Form 668 (Z) Certificate of Release of Federal Tax Lien
\Rev. 10-2000)
Area: Serial Number For Use bv Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #3 Ik. '5.00 (J 4-6
Lien Unit Phone: (412) 395-5265 230061323
I certify that the following-named taxpayer, under the requirements of section 6325 (a) eJt. /0 (,
of the Internal Revenue eode has satisfied the taxes listed below and all statutory ~ ;22'1/1-
additions. Therefore, the lien provided by eode section 6321 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 August 29
2000 , is authorized to note the books to show the release of this lien for
these taxes and additions. () a
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Name of Taxpayer C N -q
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GLENDA DANILSHENKO "'tJ-P'" ""'
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Residence 11 W MAIN STREET ;.:::::CJ "'" ~~
REINHOLDS, PA 17569 ~C) -~J~
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COURT RECORDING INFORMATION: c- ::D
Liber Page UCC No. Se:cial No. v:> -<
n/a n/a n/a 00-5963 FTL
Tax Period Date of Last D~ for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refi ng of Assessment
(a) (b) (c) (d) (e) (f)
6672 12/31/1999 178-42-1748 06/16/2000 07/16/2010 17930.75
******* **********-J ************* **********~ ************ ****************
Place of Filing Prothonotary
Cumberland County Total $ 17930.75
Carlisle, PA 17013
This notice was prepared and signed at
PITTSBURGH, PA
, on this,
the 21st day of February , 2002
Signatur 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 668 (1.) iRev. 10-20001
Part 1 - RECORDING OFFICE CAT. NO 600261
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