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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 #or -1/a,3 t::'iL
Lien Unit Phone: (412) 395-5265 230170687
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 0 Co
a demand for payment of this liability, but it remains unpaid. Therefore, c::: --
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there is a lien in favor of the United States on all property and rights to ~~~t\
property belonging to this taxpayer for the amount of these taxes, and i"J
additional penalties, interest, and costs that may accrue. ZL_ c;:;
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Name of Taxpayer SPIRIT MERCHANT & GROCER INC Corpo ation ~ ---,
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Residence :?~ ?
114 E ALLEN ST :::2. .--
MECHANICSBURG, PA 17055-3303 Cv!15i~
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, ~/tJt ;xJ?;
on the day following such date, operate as a certificate of release as defined
in IRC 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) (I)
941 06/30/2000 23-2043658 09/18/2000 10/18/2010 26800.49
Place of Filing
Prothonotary Total $
Cumberland County 26800.49
Carlisle, PA 17013
This notice was prepared and signed at
PITTSBURGH, PA
, on this,
the
08th day of February
2001
Signature 1?'.JA:.J;e... a LJ,' ~i~~enue Officer
for .J. WHITE (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. Ru!' 71-466, 1971 - 2 C.8. 4091 Form 668(Y)(c) IRev. 10-001
Part j - Kept Ily Recording Office CAT. NO 60025X
23-01-1450
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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 RecordinQ Office
SMALL BUSINESS/SELF EMPLOYED AREA #3 P.L P.tf{ 's' /IV
Lien Unit Phone: (412) 395-5265 230170687
I certify that the following-named taxpayer, under the requirements of section 6325 (a) e,t31J
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 eo. /9 ;2.(0 () 0' ()
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additions has been released. The proper officer in the office where the notice of g- o
internal revenue tax lien waS filed on February 28 -Dt.T~ r'1
mrr: n :";'!
2001 , is authorized to note the books to show the release of this lien for Z:u I
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these taxes and additions. (f)~~_ 0""'
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Name of Taxpayer r;: C~ ~ -rl
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SPIRIT MERCHANT & GROCER INC , a Corporation =CJ ;~i~r'l
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Residence 114 E ALLEN ST
MECHANICSBtJRG, PA 17055-3303
COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No.
n/a n/a n/a 01-1163 FTL
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)
941 06/30/2000 23-2043658 69/18/2000 10/18/2010 26800.49
******* ***********-A ************* *********** ************ ****************
Place of Filing prothonotary
Cumberland County Total $ 26800.49
carlisle, PA 17013
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This notice was prepared and signed at
PITTSBURGH, PA
, on this,
the
22nd day of November
2002
N
Title Compliance Technical Support
Manager
(NOTE: Certificate of offic:er authorized by law to ake acknowledgments is not essential to the validity of Certificate of Release of
Federal Tax lien Rev. Rul. 71-466, 1971 - 2 C.B. 4091 Form 668 (Z) IRev. 10-20001
Part 1 - \l.ECO\l.DING OFFICE CAT. NO 600261