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Form 668 (Y)( c)
(Rev. October 200Ql
Department of the Treasury - Internal RevenLle Service
Notice of Federal Tax Lien
Area: Serial NLlmber
SMALL BUSINESS/SELF EMPLOYED AREA #3
Lien Unit Phone: (800) 829-3903 230069149
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
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
property belonging to this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs that may accrue,
Name of Taxpayer JAMES R DALESSANDRO
For Optional Use by Recording Office
1jO/_lJ/O FlL
Residence
PO BOX 499
CARLISLE, PA 17013-0499
IMPORTANT RELEASE INFORMATION: For each assessment listed below, $1 CV Pi) Q
unless notice of the lien is refiled by the date given in column (e), this notice shall, C}<.:Ji: {53 O~,
on the day following such date, operate as a certificate of release as defined loft- i fJv.- E.J. -(l
in IRe 6325(aL JK:..lu flJ 5'-,
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment RefiIing of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/1994 191-46-1026 06/12/1995 07/12/2005 619.79
1040 12/31/1995 191-46-1026 OS/27/1996 06/26/2006 189.34
1040 12/31/1997 191-46-1026 OS/25/1998 06/24/2008 292.40
1040 12/31/1998 191-46-1026 06/14/1999 07/14/2009 2833,34
1040 12/31/1999 191-46-1026 OS/22/2000 06/21/2010 2262.40
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Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $
6197.27
This notice was prepared and signed at
PITTSBURGH, PA
, on this,
30th day of December
2000
the
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Title
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23-01-0008
Signature
(NOTE: Certificate of of{icer 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) (Rev. 10-001
Part t - Kept By Recording Office CAT. NO 60025X
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(800) 829-3903