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Form 668' (Y) (c)
(Rev. August 1997)
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax lien /7 :''1,trO /)
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For Optional Use by Recording Office
District
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Serial Number
2301 754 45
PENNSYLVANIA
As provided by sections 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that t/lxes (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 prpperty and rights to
property belonging to this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs that may accrue.
Name ofTaxpayer
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ROBERT E. NACE
Residence
919 WEST TRINDLE ROAD
MECHANICSBURG, PA 17055
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IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice of lien is refiled by the date given in column (e), this notice shall,
on tl(reJday following such date, operate as a certificate of release as defined in
IRC 6~5(a).
Kind of TalC Tax Period Ended Identifying Number Date of Last Day for
(a).:' (b) (e) Assessment Refiling
(d) (e)
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1040C' 12/31/1994 187-44-9749 8/10/1998 9/9/2008
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Unpaid Balance of
Assessment
(f)
$5417.88
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~Iace of Filing Prothonotary
Cumberland county
Carlisle, PA
Total
$ 5417.88
fhis notice was prepared and signed at
HARRISBURG, PA
, on this,
:he 17th day of May
2001
Signature f\.,.JJ~lk-_~. .Ilitle
'-'I~ . REVENUE OFFICER
(NOTE: Certificate of officer authorized by law to take acknowledgments is not essential to the validity of Notice of Federal Tax lien Rev. Rul. 71466, 1971.2 G.B. 409)
PART 1 - KEPT BY RECORDING OFFICE Form 668 (Y) (c) (Rev. 8-97)
CAT, NO 60025X
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A"187
, ,c.
fprm' 668 M(c)
(Rev. August 1997)
Department of the Treasul)' - Internal Revenue Service .
Notice of Federal Tax Lien
PENNSYLVANIA
As provided by sections 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
2301 754 45
District
Serial Number
Yl."OJ-J..Q?7 1='1:J....
IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice of lien is refiled by the date given in column (e), this notice shall,
on t ay following such date, operate as a certificate of release as defined in
IRC.6 5(a).
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ROBERT E. NACE
Residence 919 WEST TRINDLE ROAD
MECHANICSBURG, PA 17055
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Kind of Tax
lal,",
'41.- ...,
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Tax Period Ended Identifying Number
(b) (c)
Date of
Assessment
(d)
Last Day for
Refiling
(e)
9/9/2008
Unpaid Balance of
Assessment
(f)
...,.
1040(/" 12/31/1994
V
187-44-9749
8/10/1998
$5417.88
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Place of Filing' Prothonotary
cumberland County
Carlisle, PA
Total
$ 5417.88
This notice was prepared and signed at
HARRISBURG, PA
, on this,
...--.
the 17th day of May
2001
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Signature -.kf.~.. ./k-- ~.... . I Title
q~. REVENUE OFFICER . .
(NOTE: Certmcftte of officer Butfioriz.~ by I~w to take agk(lOwtedgfJlent~ is ,not essential to the va.ndity of Notipe of Federal Tax lien Rev. R,1,11" n~~ 1.9zt-2 G,B. 409)
p,,~ 1 ~ KEPT BY RECORDING OFFICE Form 668 (V>'.(c) ) (Rey. S.97)
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