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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
SMALL BusrNESS/SELF EMPLOYED AREA #3
Lien Unit Phone: (800) 829-3903 230l723l4
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 ALAN C SHEARER
For Optional Use by Recording Office
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Residence
11 PARK ST
MT HOLLY SPGS, PA 17065-1433
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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 Ie), this notice shall,
on the day following such date, operate as a certificate of release as defined
in IRC 6325(a),
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Kind of Tax
(a)
1040
Tax Period
Ending
(b)
12/31/1998
Identifying Number
(c)
210-40-3673
Date of
Assessment
(d)
07/19/1999
Last Day for
Refiling
(e)
08/18/2009
Unpaid Balance
of Assessment
(f)
1333.57
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $
1333,57
This notice was prepared and signed at
PITTSBURGH, PA
, on this,
the
14th day of March
2001
Signature,r;) Title
r j..--I'~J ACS 23-01-0008
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for L G DOWD (800) 829-3903
(NOTE: Certificate of officer authorize-d 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
Part 1 _ Kept By Recording Office Form 668(Y)(c) (Rev. 10-001
CAT. NO 60025X
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