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--*-- 499 Department of the Treasury - Internal Revenue Service
Form 668 (Z) Certificate of Release of Federal Tax Lien
(Rev. 10-2000)
Area: Serial Number For Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #3 lit 1Zef',,s,ou
Lien Unit Phone: (4l2) 395-5265 230066837
I certify that the following-named taxpayer, under the requirements of section 6325 (a) eLl ffJ
of the Internal Revenue Code has satisfied the taxes listed below and all statutory fu-. /~s~ 7q
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 November 03
2000 , is authorized to note the books to show the release of this lien for
these taxes and additions. () I..~ 0
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Name of Taxpayer s: :x:
R & R ROOFING a Corporation -orr ~cno ."n
, ~~SJ --<
WHITMER ROBERT L GENL PTR r=:..:
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Residence 117 WALNUTDALE RD ~L~ 'V ~~~
SHIPPENSBURG, PA 17257-9693 ;~~, -
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COURT RECORDING INFORMATION: :~ ....~ :0
Liber Serial ()i -<
Page UCC No. No.
n/a n/a n/a 00 -7800-FTL
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilmg of Assessment
(a) (b) (c) (d) (e) (f)
941 09/30/1998 25-1637994 04/26/1999 OS/26/2009 2559.54
941 12/31/1998 25-1637994 07/26/1999 08/25/2009 2382.98
941 03/31/1999 25-1637994 06/14/1999 07/14/2009 703.65
941 09/30/1999 25-1637994 11/22/1999 12/22/2009 5504.66
941 12/31/1999 25-1637994 03/13/2000 04/12/2010 4797.87
******* ***********11 ************* **********j ************ ****************
Place of Filing Prothonotary
Cumberland County Total $ 15948.70
Carlisle, PA 17013
This notice was prepared and signed at
PITTSBURGH, PA
, on this,
the
17th day of May
2002
Signa~J / Title Compliance Technical Support
<........l/.4.. Manager
(NOTE: Certificate of officer authorized by law t take acknowledgments is not essential to the validity of Certificate of Release of
Federal Tax lien Rev. Ru!. 71-466,1971 - 2 C.B. 409)
Part 1 - RECORDING OFFICE
Form 668 (Z) IRev. 10-2000)
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. October 2000)
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #3 fLtfJ-7g06 FTc
Lien Unit Phone: (800) 829-3903 230066837
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are gMng a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made (") <=> 0
a demand for payment of this liability, but it remains unpaid. Therefore, c 0 '"n
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there is a lien in favor of the United States on all property and rights to -om Cl -T:'; '11
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property belonging to this taxpayer for the amount of these taxes, and z::o I '~-J,::~R
additional penalties, interest, and costs that may accrue. zs; 0) i-<'~', I
:Q?: .-:::i :...o~.?
Name of Taxpayer R & R ROOFING a Corporation ~o :t" ~it~
, ~o :JI"'"
~
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Residence 117 WALNUTDALE RD WHITMER ROBERT L GEN PTR \P '<
SHIPPENSBURG, PA 17257-9693 ~* [535;)1
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, ~ (o~471
on the day following such date, operate as a certificate of release as defined
in IRC 6325(a).
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)
941 09/30/1998 25-1637994 04/26/1999 OS/26/2009 2559.54
941 12/31/1998 25-1637994 07/26/1999 08/25/2009 2382.98
941 03/31/1999 25-1637994 06/14/1999 07/14/2009 703.65
941 09/30/1999 25-1637994 11/22/1999 12/22/2009 5504.66
941 12/31/1999 25-1637994 03/13/2000 04/12/2010 4797.87
Place of Filing
Prothonotary Total $
Cumberland County 15948.70
Carlisle, PA 17013
This notice was prepared and signed at
PITTSBURGH, PA
, on this,
14th day of October
2000
the
Signature
r'l
;1 /<~:5r~l!.-f, I J" /)
',., - ~ "'<,",~' "..,. ,.~"-,,, r'~",
for LOIS DOWD ~ ~ (800) 829-3903
(NOTE: Certificate of officer authorized by la~-to~ ta-ke-acknowledgment is not essential to the validity of Notice of Federal Tax lien
Rev. Rul. 71-466, 1971 - 2 C.8. 4091
Title
ACS
23-01-0008
Part 1 - Kept By Recording Office
Form 668(Y)(c) (Rev. 10,00)
CAT. NO 60025X
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