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HomeMy WebLinkAbout79-2669--*-- 11799 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 b Recordin Office SMALL BUSINESS/SELF EMPLOYED AREA #2 ~d. ~"~ PS''ti Lien Unit Phone: (800) 913-6050 237500029 I certify that the following-named taxpayer, under the requirements of section 6325 (a) ~ ~a S9 ~' 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 /~ additions has been released. The proper officer in the office where the notice of /~^ / ,{ f. 1 QI internal revenue tax lien was filed on December 20 1979 , is authorized to note the books to show the release of this lien for ~? ~ ~ these taxes and additions. ~ `~'' ~ Name of Taxpayer _ - ' ~ r~rlr!? JOHN W MEYERS ~; -., ~_ ~ c-~ ~ ~^ - ~ , - r ~ ~ ._~ ~.~ ~. Residence 7 0 CONODOGUINET AVE y "~" CAMP HILL, PA 17011 ~= .T-+, •-~ c' ':v .~ ~ COURT RECORDING INFORMATION: Liber Page UCC No. Serial No. 2 40 n/a 2669 ~ Tax Period Date of Last D for Unpaid Balance Kind of Tax Ending Identifying Number Assessment Ref~ng of Assessment (al (bl fcl (dl (el (f1 6672 09/30/1973 179-32-9557N 10/28/1974 11/27/1980 23 051.02 Place of Filing Prothonotary Cumberland County Total $ 23051.02 Carlisle, PA 17013 Philadelphia, PA , on this, This notice was prepared and signed at the 28th day of November 2006 Signature A ~ -Title OperationsCampus Compliance (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. Rul. 71-466, 1971 - 2 C.B. 409) Form 668 (Z) (Rev. 10-2000) Part 1 -RECORDING OFFICE CAT. NO 600261