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Department of the Treasury -Internal Revenue Service
Form 668 (Y)(c) ,
IRev. October 2000) Notfce of Federal Tax Lien
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #3
Lien Unit Phone: (412) 395-5265
230179717
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as provided by section 6321, 6322, and 6323 of the Internal Revenue p~(
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Code, we are giving a notice that taxes (including interest and penalties) ,
have been assessed against the following-named taxpayer. We have made ~ app
a demand for payment of this liability, but it remains unpaid. Therefore, ~ lic-GP8
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 RESTORATION CLINIC a Corporation n c:;.
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Residence g27 W TRINDLE RD mr
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MECHANICSBURG, PA 17055-4058 z [
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IMPORTANT RELEASE INFORMATION: For'each assessment listed below, ~,
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unless notice of the lien is refiled by the date given in column le), this notice shall, C -'
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on the day following such date, operate as a certificate of release as defined ~ :..) ~=r
in IRC 6325(al. '< r-' =~;
Tax Period Date of Last Dayy for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Ref iling of Assessment
(a) (b) (c) (d) ( e) (fl
941 03/31/2001 25-1645696 06/04/2001 07/04/2011 5500.95
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
This notice was prepared and signed at
PITTSBURGH, PA
Total I$
5500.95
the 07th day of September 2001
on this,
Signature ~r'r=,~~°-:f~'a~~y'„,~;.~..r,..,,,, Revenue Officer 23-01-1439
for D. FISHER (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. Rul. 71-466, 1971 - 2 C.B. 409) Form 668(Y)(c) IRev. 10-00)
Part 1 -Kept By Recording Office CAT. NO 60025X
nexi,:u'a'~fbLLTdMte k3 ~S`dFR_%~3!ffi peKd.4' Ryat i:~. ~'...... ._ ~_ ...i_ ,. - ~ -Q . ': `A$Wµs'2L1Il.dA~ ,. $r=3.mloLt/~Ly~
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499 Department of the Treasury -Internal Revenue Service
Form 668 (~)
,Ra~.,o-2ooo, Certificate of Release of Federal Tax Lien
Area: Serial Number For Use b Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #3
Lien Unit Phone: (4I2) 395-5265 230179717 9~/ /-~~~ °Jrltd
I certify that ihefollowing-named taxpayer, under the requirements of section 6325 (al
of the Internal Revenue Code has satisfied the taxes listed below and all statutory ~ y `/O
additions. Therefore, the lien provided by Code section 6321 for these taxes and n ~/~G yp
additions has been released. The proper officer in the office where the notice of d~-
internal revenue tax lien was filed on September 19
2001 is authorized to note the books to show the release of this lien for
these taxes and additions. ~~_' ``-"_' ~~-~~
Name of Taxpayer ~~
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RESTORATION CLINIC a Corporation =
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Residence 827 W TRINDLE RD - - - ' -_=
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MECHANICSBURG, PA 17055-4058 '
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COURT RECORDING INFORMATION: -<
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Liber Page UCC No. Serial No.
n/a n/a n/a 01-5474-FTL
Tax Period Date of Last Dayy for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) /bl (c) /dl (e1 (f)
941 03/31/2001 25-1645696 06/04/2001 07/04/2011 5500.95
Place of Filing prothonotary
Cumberland County
Carlisle, PA 17013
This notice was prepared and signed at
PITTSBURGH, PA
Total ~ $
5500.95
on this,
the 30th day of November 2001
Signature ~,,~°t ,~ ,: I Title Compliance Technical Support
'..,~`;.'~,~.:-~ Manager
(NOTE: Certificate or oihcer authonzed by iaw to take acKnowieagmems is noc essenuai w me veuwiy u...~~ u~~~a« ~~ ~,~~~a~~ .,~
Federal Tax lien Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 668 (Z) (Rev. 10-2000)
Part 1 -RECORDING OFFICE CAT. NO 600261
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