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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 230065393 co- /O~ r::: I L-
As provided by section 6321, 6322, and 6323 of the Internal Revenue ~
Code, we are giving a notice that taxes (including interest and penalties) t!I2.:</l /53%-S
have been assessed against the following-named taxpayer. We have made !*</{- lad ~O?
a demand for payment of this liability, but it remains unpaid. Therefore,
there is a lien in favor of the United States on all property and rights to 0 C::J
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property belonging to this taxpayer for the amount of these taxes, and S L.J
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additional penalties, interest, and costs that may accrue. .-1 -
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Name of Taxpayer HAROLD H BROWN ZC w'.:;
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Residence - .::.--;;(n
1428 BRADLEY DR APT 113 PC ., '::::~
CARLISLE, PA 17013 -1274 ~ <.'1 2::;
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IMPORTANT RELEASE INFORMATION: For each assessment listed below,
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 Diif. for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refi ng of Assessment
(a) lb) (c) (d) (e) <0
1040 12/3:1./1991 312-36-3225 10/28/1996 11/27/2006 4771. 56
1040 12/3:1./1992 312-36-3225 05/31/1993 06/30/2003 511.22
1040 12/3:1./1994 312-36-3225 05/12/1997 06/11/2007 1264.92
Place of Filing
Prothonotary Total $
Cumberland County 6547.70
Carlisle, PA 17013 .
This notice was prepared and signed at
PITTSBURGH, PA
, on this,
Signature
for LOIS DOWD
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Title
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ACS 23-01-0000
(MOTE: 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. 4091 Form 668(Y)(c) (Rev, 8.97)
Part 1 - Kept By Recording Office CAT. NO 60025X
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1008 Department of the Treasury - Internal Revenue Service
Form 668 (Z) Certificate of Release of Federal Tax Lien ,)
(Rev. 10-20001
Area: Serial Number For Use by Recording Office
WAGE & INVESTMENT AREA #2 n. fJ'-1( f'cf. uV
Lien Unit Phone: (412) 395-5265 230065393
I certify that the following-named taxpayer, under the requirements of section 6325 (a) C1L' 75'
of the Internal Revenue Code has satisfied the taxes listed below and all statutory
additions. Therefore, the lien provided by Code section 6321 for these taxes and eu. 1'/3 ';i.,'l
additions has been released. The proper officer in the office where the notice of
internal revenue tax lien was filed on October 13
2000 , is authorized to note the books to show the release of this lien for
these taxes and additions.
Name of Taxpayer (J c 0
HAROLD H BROWN c w .,
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Residence 14 2 8 BRADLEY DR APT 113 r--'
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CARLISLE, PA 17013-1274 r;"""'-'- r. ()
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COURT RECORDING INFORMATION: r~;) '-;e.:,: III
Liber Page UCC No. Serial No. ~ ::::-. S
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n/a n/a n/a 00-7065 FTL -<
Tax Period Date of Last D'lf. for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refi mg of Assessment
(a) (b) (e) (d) (e) (I)
1040 12/31/1991 312-36-3225 10/28/1996 11/27/2006 4771.56
1040 12/31/1992 312-36-3225 05/31/1993 06/30/2003 511.22
1040 12/31/1994 312-36-3225 05/12/1997 06/11/2007 1264.92
******** ***********'lI ************* **********'11 ************ ****************
Place of Filing
Prothonotary
Cumberland County Total $ 6547.70
Carlisle, PA 17013
This notice was prepared and signed at
Philadelphia, PA
, on this,
the 24th day of September, 2003
Sig
t:.0-t1'1..~
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. 409) Form 668 (Z) (Rev, 10-20001
Part ,1 - RECORDING OFFICE CAT, NO 600261