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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 FIt OD- ~d- Cf'7) rn-
Lien Unit Phone: (412) 395-5265 230066920
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
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 (') 0 0
internal revenue tax lien was filed on November 28 ~ - -1"'1
2000 , is authorized to note the books to show the release ot this lien tor "Urn C-
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these taxes and additions. tpSj Z ':-;'i-Tl
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Name of Taxpayer W R FOODS INC Corporation (.67 -
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Residence 1304 SLATE HILL RD c: ;=;
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CAMP HILL, PA 17011-8013 ..... -<
COURT RECORDING INFORMATION: ffi4 8Y \
Liber Page UCC No. Serial No. I ~ / 1;;2.7 {,o '3
n/a n/a n/a 00 8298 FTL
Tax Period Date of Last D1. for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refi ng of Assessment
(a) (b) (c) (d) (e) (f)
941 06/30/2000 25-1713140 09/11/2000 10/11/2010 1106,53
******* *********** ************* **********~ ************ ****************
Place of Filing
Prothonotary Total $
Cumberland County 1106,53
Carlisle, PA 17013
This notice was prepared and signed at
PITTSBURGH, PA
, on this,
01st day of June
2001
the
Signature
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. Ru!' 71-466, 1971 - 2 C.B. 4091 Form 668 (Z) IRev. 10-20001
Part 1 - RECORDING OFFICE CAT. NO 600261
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499
Form 668 (Y)(c) Department of the Treasury. Internal Revenue Service
Notice of Federal Tax Lien
(Rev. October 2000)
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #3 -ftCD~Odq~ -rtL-
Lien Unit Phone: (412) 395-5265 230066920
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 C) c:;.
a demand for payment of this liability, but it remains unpaid. Therefore, c C)
there is a lien in favor of the United States on all property and rights to <;' ~
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property belonging to this taxpayer for the amount of these taxes, and QJr7-~ -.
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additional penalties, interest, and costs that may accrue. .--::::: .-"-,-)
en ex) n~
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Name of Taxpayer W R FOODS INC , a Corporation ~~c.;
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Residence 1304 SLATE HILL RD , z ::::>
CAMP HILL, PA 17011~8013 ~lft, 00 ~ '0
IMPORTANT RELEASE INFORMATION: For each assessment listed below, CK* (S~
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). ~~ ltJ L-/3 '61
Tax Period Date of Last DfIT. for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refi lUg of Assessment
(a) (b) (c) (d) (e) (f)
941 06/30/2000 25-1713140 09/11/2000 10/11/2010 1106,53
Place of Filing
Prothonotary Total $
Cumberland County 1106.53
Carlisle, PA 17013
This notice was prepared and signed at
PITTSBURGH, PA
, on this,
the
17th day of October
2000
Signature
~ a I )./ Title
~ '. LJ~ Revenue Officer
for J. ITE (717) 221-3490
(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.6. 4091 Form 668(Y)(c) (Rev. 10-001
Part 1 " Kept By Recording Office CAT. NO 60025X
23-01-1450