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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 230065307
As provided by section 6321, 6322, and 6323 of the Internal Revenue trJ - 761&;1.. PI/-
Code, we are giving a notice that taxes (including interest and penalties) ,.--
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have been assessed against the following-named taxpayer. We have made
a demand for payment of this liability, but it remains unpaid. Therefore, J2;t-./Ir /O;)J/03
there is a lien in favor of the United States on all property and rights to
property belonging to this taxpayer for the amount of these taxes, and C) CJ
additional penalties, interest, and costs that may accrue. c 0 0
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-of" ,:::J
Name of Taxpayer BART & KATHY TIMMERMAN ~~J ,-')
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Residence 101 N 2ND ST :::::C' CJ
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WORMLEYSBURG-, PA 17043-1366 =Z=C; -, r:")
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, _.J.""
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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
in IRe 6325(a).
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refihng of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/1993 493-74-8441 06/14/1999 07/14/2009 399.28
Place of Filing
Prothonotary Total $
Cumberland County 399.28
Carlisle, PA 17013
This notice was prepared and signed at
PITTSBURGH, PA
, on this,
26th day of
September 2000
,
the
Title
Signature ~." '
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for LOIS DOWD ~","/Cv...~Gt.'&JL,.""l'''''''{'!<>'('';;~~Y''';''"<t~~,
ACS 23-01-0000
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(MOTE: Certificate of officer authorizEidlJy Taw to take acknowledgment is not essential to the validity of Notice of Federal Tax lien
Rev, RuL 71-466, 1971 - 2 C,B. 4091 Form 668(Y)(c) (Rev, 8-971
Part 2 - Internal Revenue SelVice lDA Copy CAT. NO 60025X
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1872 Department of the Treasury - Internal Revenue Service
Fonn 668 (Z) Certificate of Release of Federal Tax Lien
(Rev. 10-2000)'
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Area: Serial Number For Use bv Recording Office
WAGE " INVESTMENT AREA #2
Lien Unit Phone: (412) 395-5265 230065307 $~ob?cL
I certify that the following-named taxpayer, under the requirements of section 6325 (a)
of the Internal Revenue Code has satisfied the taxes listed below and all statutory C!...1t..-::::P IDf.,,6
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 13 R::tL 1t...3/6/
2000 I is authorized to' note the books to show the release of this lien for
these taxes and additions.
Name of Taxpayer
BART & KATHY TIMMERMAN
Residence 101 N 2ND ST I
WORMLEYSBURG, PA 17043-1366
COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No.
n/a n/a n/a 00-7062 FTL
Tax Period Date of Last D?; for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refi mg of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/1993 493-74-8441 06/14/1999 07/14/2009 399.28
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Place of Filing
Prothonotary
Cumberland County Total $ 399.28
Carlisle, PA 17013
This notice was prepared and signed at
Philadelphia, PA
, on this,
06th day of April
2005
the
Signature
Title Director, Payment Compliance
(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 (Z) IRev, 10-2000}
Part t . RECORDING OFFICE CAT, NO 600261
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