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499 Department of the Treasury - Internal Revenue Service
Form 668 (Y)( c) Notice of Federal Tax Lien
(Rev. August 1997)
District Serial Number For Optional Use by Recording Of1fice
PENNSYLVANIA 230063739 :ifcXJ-u789 P/~
As provided by section 6321, 6322, and 6323 of the Internal Revenue (') D 0
Code, we are giving a notice that taxes (including interest and penalties) c 0
have been assessed against the following-named taxpayer. We have made 5: 0
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a demand for payment of this liability, but it remains unpaid. Therefore, mrT! ......
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there is a lien in favor of the United States on all property and rights to ~S:~ I - ,-q
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property belonging to this taxpayer for the amount of these taxes, and -<.c::,: '~-:~,~ C?
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additional penalties, interest, and costs that may accrue. ~o ~ ~:,::~ ?-3
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Name of Taxpaver DENNIS D SEMANCIK ;J>c:: -,
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Residence 341 9TH ST It /6/1J)J
NEW CUMBERLAND, PA 17070-1305
IMPORTANT RELEASE INFORMATION: For each assessment listed below, C~n~
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 q.06 A)
in IRe 6325(a),
Tax Period Date of Last Day for Unpaid Balanc;e
Kind of Tax Ending Identifying Number Assessment Refilmg of Assessmenlt
(a) (b\ (c) (d) (e) (f)
1040 12/31/1997 175-44-7225 11/16/1998 12/16/2008 1431. 54
1040 12/31/1998 175-44-7225 11/29/1999 12/29/2009 534=,.97
Place of Filing
prothonotary Total $
cumberland County 6777.51
ca.rlisle, PA 17013
This notice was prepared and signed at
PITTSBTJRGH, PA
, on this,
the
14th
d f. September
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2000
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Signature
for LOIS DOWD
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Title
ACS 23-01-0008
(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,8, 409) Form 668(Y)(c) (Rev, B-97)
Part I - Kept By Recording Office CAT, NO 601J25X
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499 Department of the Treasurv - Internal Revenue Service
Fonn 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 Ii~ q 6,tJi)
Lien Unit Phone: (412) 395-5265 230063739
I certify that the following-named taxpaver, under the requirements of section 6325 (a)
of the Internal Revenue Code has satisfied the taxes listed below and all statutory ek. 30'-/
additions, Therefore, the lien provided by Code section 6321 for these taxes and
additions has been released. The proper officer in the office where the notice of &, j31'7{1
internal revenue tax lien was filed on October 04
2000 I is authorized to note the books to show the release of this- lien for (')
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these taxes and additions. c: r,,,)
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Name of Taxpaver 0j~~::; (:5
DENNIS D SEMANCIK ....-..__'", ,
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Residence 3 41 9TH ST ~i~\ ::-r:
NEW CUMBERLAND, PA 17070-1305 S-~)
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COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No.
n/a n/a n/a 00-6789 FTL
Tax Period Date of Last Dad': for Unpaid Balane,e
Kind of Tax Ending Identifying Number Assessment Refi mg of Assessment;
(a) (b) (e) (d) Ie) If)
1040 12/31/1997 175-44-7225 11/16/1998 12/16/2008 1431. 54
1040 12/31/1998 175-44-7225 11/29/1999 12/29/2009 5345.97
******* ............ ************* **********ic ************ ****************
Place of Filing Prothonotary
Cumberland County Total $ 6777.51
Carlisle, PA 17013
This notice was prepared and signed at
PITTSBURGH, PA
I on this,
the
01st day of November
2002
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, Ru!' 71-466,1971 - 2 C,B, 4091 Form 668 (Z) (Rev, 10-20001
Part 1 - RECORDING OFFICE CAT, NO 600261