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499 Department of the Treasurv - Internal Revenue Service
Form 668 (Y)( c) Notice of Federal Tax Lien
(Rev. August 1997)
District Serial Number For Optional Use by Recording Office
PENNSYLVANIA 230063906 11 ()(j- {J 7 9 ! FTL
As provided by section 6321, 6322, and 6323 of the Internal Revenue (') 0 0
Code, we are giving a notice that taxes (including interest and penalties) c c::> -n
have been assessed against the fOllowing-named taxpayer. We have made S <::) _,J,
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a demand for payment of this liability, but it remains unpaid. Therefore, f1J rr, ---I
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there is a lien in favor of the United States on all property and rights to '7~ <-10
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property belonging to this taxpayer for the amount of these taxes, and "~i()
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additional penalties, interest, and costs that may accrue. :J.:::C) ..,:Il.. -;--:-~C)
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Name of Taxpaver RANDY A WISOR ;o>c u
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Residence 103 N YORK ST cKIf 153m
MECHANICSBURG, PA 17055-6220
IMPORTANT RELEASE INFORMATION: For each assessment listed below, 12/ iut ~ &i ?--
unless notice of the lien is refiled by the date given in column (el, this notice shall,
on the day following such date, operate as a certificate of release as defined q/X) p~
in IRe 6325(a).
Tax Period Date of Last D1.; for Unpaid Balanc:e
Kind of Tax Ending Identifying Number Assessment Refi mg of Assessmenll
(a) (b) (c) (d) (e) <0
1040 12/31/1996 193-50-3564 06/02/1997 07/02/2007 3777.98
1040 12/31/1997 193-50-3564 03/08/1999 04/07/2009 5467.88
Place of Filing
Prothonotary Total $
Cumberland County 9245.86
Carlisle, PA 17013
This notice was prepilred and signed at
PITTSBURGH, PA
,011 this,
the
14th day of
,.
septemBer,
2000
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Signature
for LOIS DOWD
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, Ru!. 71-466,1971 - 2 C.B, 409) Form 668(Y)(c) IRev, :3-971
Part 1 - Kept By Recording Office CAT, NO 60025X