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Department of the Treasury - Internal Revenue Service
,.,rIit 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 230174048 !Ol- J.l-/~ 'V(V
Lien Unit Phone: (412) 395-5265 As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including interest and penalties) (") 0 0
have been assessed against the following-named taxpayer. We have made c: - -"
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a demand few payment of this liability, but it remains unpaid. Therefore, "'t)()] "'" -r,
there Is a lien in favor of the United States on all property and rights to mrn -< n~
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property belonging to this taxpayer for the amount of these taxes, and - :/JcJ
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addItional penalties, interest, and costs that may accrue. --<L-::
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Name of Taxpayer KEE MEDICAL SERVICES INC. a Corporat on ~8 ::t:: \,:;:.~(~
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Residence 809 BOILING SPRINGS ROAD
MECHANICSBURG, PA 17055
IMPORTANT RELEASE INFORMATION: For each assessment listed below, C~ 101
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 ~l\lOf1
in IRe 6325(a).
Tax Period Date of Last Dal. for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refl mg of Assessment
(a) (b) (c) (d) (e) (f)
941 03/31/2000 25-1683890 12/25/2000 01/24/2011 11736.56
941 06/30/2000 25-1683890 12/25/2000 01/24/2011 11882.51
941 09/30/2000 25-1683890 01/01/2001 01/31/2011 9816.72
Place of Filing
Prothonotary Total $
Cumberland County 33435.79
Carlisle, PA 17013
This notice was prepared and signed at
PITTSBURGH, PA
, on this,
the
19th day of April
2001
Signature ~ TItle
" , a LJ~.""" ~evenue Officer 23-01-1450
fo~ J. w (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, 409)
Part t . Kept By Recording Office Form 668(Y)(c) (Rev, 10-00)
CAT, NO 60025X
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--*-- 1008 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 IL 12/1 Q o,1JO
Lien Unit Phone: (412) 395-5265 230174048
I certify that the following.named taxpayer, under the requirements of section 6325 (a) Ck- ,<}{
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 a-. /'1q93(,.
additions has been released. The proper officer in the office where the notice of
internal revenue tax lien was filed on May 01
2001 , is authorized to note the books to show the release of this lien for
these taxes and additions.
Name of Taxpayer () '" 0
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KEE MEDICAL SERVICES INC. a Corporation ~; ~ "'Tl
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Residence 809 BOILING SPRINGS ROAD j,t - :D,?
c.n ()o
MECHANICSBURG, PA 17055 ~,-r=
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COURT RECORDING INFORMATION: -'
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Liber Page UCC No. Serial No. :::1. U1 ~JJ
n/a n/a n/a 01-2612 -<~ N -c
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refillng of Assessment
(a) (b) (c) (d) (e) (f)
941 03/31/2000 25-1683890 12/25/2000 01/24/2011 11736.56
941 06/30/2000 25-1683890 12/25/2000 01/24/2011 11882.51
941 09/30/2000 25-1683890 01/01/2001 01/31/2011 9816.72
******** **********io. ************* *********** ************ ****************
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Place of Filing
Prothonotary
Cumberland County Total $ 33435.79
Carlisle, PA 17013
This notice was prepared and signed at
Philadelphia, PA
, on this,
the
07th day of April
2004
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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. 409)
Part t - RECORDING OFFICE
Form 668 (Z) (Rev, 10-2000)
CAT. NO 600261
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