HomeMy WebLinkAbout91-6000--*--
Revenue Service
4805 Department of the Treasury -Internal
Form 668 (Z) ,
Certificate of Release of Federal Tax Lien
IRe~. ,0.2000,
Area: Serial Number For Use b Recordin Office
WAGE & INVESTMENT AREA #1 ~ ~
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Lien Unit Phone: (800) 913-6050 239118905 ~
I certify that the following-named taxpayer, under the requirements of section 6325 (a) ~~ .~ ~G 3
of the Internal Revenue Code has satisfied the taxes listed below and all statutory n
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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 ~j era
internal revenue tax lien was filed on August 23
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19 91 is authorized to note the books to show the release of this lien for "~' ~_" '~'1 --{
these taxes and additions. ~^; W ~~
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Name of Taxpayer ~ ~'
THEODORE S WEAVER JR `~~ `-
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Residence 4611 A FLORENCE AVE ~
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MECHANICSBURG, PA 17055 ~ `~
COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No.
n/a 122 n/a 6000
Tax Period Date of Last D for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refl~g of Assessment
a b c d e f
1040 12/31/1984 XXX-XX-1916 08/12/1985 09/11/1995 2434.11
1040 12/31/1985 XXX-XX-1916 06/02/1986 07/02/1996 3604.62
1040 12/31/1986 XXX-XX-1916 05/25/1987 06/24/1997 5494.68
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total I $ 115 3 3 .41.
This notice was prepared and signed at
the 01st day of February
Signature
Philadelphia, PA
2009,
on this,
Title Director, Campus Compliance
Operations
(NOTE: Certiticate 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 B. 409)
Form 668 (Z) (Rev. 10-2000)
Part 1 -RECORDING OFFICE CAT. NO 600261