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499 Department of the Treasurv - Internal Revenue Service
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 Ii I&.;( L5,~
Lien Unit Phone: (412) 395-5265 230064103
I certify that the following-named taxpaver, under the requirements of section 6325 (a) ek-/90
of the Internal Revenue Code has satisfied the taxes listed below and all statutory /2..-. /..< ~<. 71'
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
internal revenue tax lien was filed on October 04
2000 , is authorized to note the books to show the release of this lien for
these taxes and additions. 0 0 <--
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Name of Taxpaver l'J(['J ;.7-""
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HELEN M JONES Z:r:1 --< "f.;;';;
% DANIEL JONES ~~~ N --_'~T:
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Residence 5 046 ERBS BRIDGE RD -E;(j 3t: <-:~~B
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MECHANICSBURG, PA 17055-2410 )o,c N :::;rn
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COURT RECORDING INFORMATION: en ~:
Liber Page UCC No. Serial No.
n/a n/a n/a 00-6795 FTL
Tax Period Date of Last DalY. for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refi 109 of Assessmenl~
(a) (b) (c) (d) (e) (f)
1040 12/31/1997 204-26-9981 01/10/2000 02/09/2010 31741.48
******* I***-'********~ *** *,* * * * * * * * * *********** ************ ****************
Place of Filing Prothonotary
Cumberland County Total $ 31741.48
Carlisle, PA 17013
This notice was prepared and signed at
PITTSBURGH, PA
I on this,
17th dav of May
2002
the
Signat
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. Rul, 71-466, 1971 - 2 C,B, 4091 Form 668 (Z) (Rev, 10-20001
Part 1 - RECORDING OFFICE CAT, NO 600261
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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 Office
PENNSYLVANIA 230064103 ttCO-G7Q5 FrL
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made 0 Cl
a demand for payment of this liability, but it remains unpaid. Therefore, Cl
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there is a lien in favor of the United States on all property and rights to ;O~ 0
property belonging to this taxpayer for the amount of these taxes, and v 0:; ,-, "'1'1
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additional penalties, interest, and costs that may accrue. m~ I ~~;~
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Name of Taxpayer HELENM JONES -<L
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Residence 5046 ERBS BRIDGE RD % DANIEL JONES crt 15:Jl~ +' 55
MECHANICSBURG, PA 17055-2410 {.u -(
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, ~'(61~((77
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 ~C()VI)
in IRC 6325(a).
Tax Period Date of Last Dad'; for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refi mg of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/1997 204-26-9981 01/10/2000 02/09/2010 31741.48
.
Place of Filing
Prothonotary Total $
Cumberland County 31741.48
Carlisle, PA 17013
This notice was prepared and signed at
PITTSBURGH, PA
, on this,
the 15th davof September, 2000
Title
Signature ~,,(...J ._' I
for LOIS If::7~ C1~ LJ.'
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,B. 409) Form 668(Y)(c) IRev. B-97}
Part 1 - Kept By Recording Office CAT, NO 60025X