HomeMy WebLinkAbout93-6876--*--
Form 668 (Z)
(Rev. 10-2000)
6152 Department of the Treasury -Internal Revenue Service
Certificate of Release of Federal Tax Lien
Area: Serial Number For Use b Recordin Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
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I certify that the following-named taxpayer, under the requirements of section 6325 (a)
of the Internal Revenue Code has satisfied the taxes listed below and all statutory ~~ 07/ /S~/
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 /~, ~ b ~ `!~ z
internal revenue tax lien was filed on July 2 9 ~ C'7
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1993 is authorized to note the books to show the release of this lien for ~~. m
these taxes and additions. `~, i`:;
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Name of Taxpayer ~ -~~
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N . LOU HAINES ~ ~
GRAYSTONE RESTAURANT & LOUNGE = '~_~'
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Residence 5115 E TRINDLE RD .
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MECHANICSBURG, PA 17055-3624
COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No.
n/a 143 n/a 6876
Tax Period Date of Last Dayy for unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(al (b1 (~I (dl (e) fl
941 12/31/1992 23-2325111 07/12/1993 08/11/2003 8284.17
941 03/31/1993 23-2325111 07/12/1993 08/11/2003 5370.92
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 13655.09
This notice was prepared and signed at Philadelphia, PA
the 09th day of March 2008,
Signature
on this,
Title Director, Campus Compliance
Operations
(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. 10-20001
Part 1 -RECORDING OFFICE CAT. NO 600261