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Form 668 (V) 0 Deportment 01 the Treasury - Internal Revenue Service
IRoy, January 1091) Notice of Federal Tax Lien Under Internal Revenue Laws
District Serial Number For Opl/on.1 U.. bv R.corrllna om""
Ph 1 I ade I ph i a, PA 2:":,'41)12:2:5 Nu. 9<.0 I ~"L
As provided by sections 6321, 6322, end 6323 01 the Internal Revenue Code,
notice Is given thst taxes (Including Interest and penalties) have been Iqqy
assessed against the lollowlng-named taxpayer. Demand lor payment 01 this
liability has been made, but It remains unpaid. Therelore, there Is a lien In
lavor 01 the United States on all property and rights to property belonging to
this taxpayer lor the amount 01 these taxes, and additional pensltles, ..
Interest, and costs that may accrue, n,
....
Name of Taxpayer DENNIS F 8, BONNIE L "EPNER
r,
Residence It-9 E POMFRET ST h'
,
CARLISLE, PA 1701:3-:3:31'5 ,
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IMPORTANT RELEASE INFORMATION: With respect to each assessment listed <.c
..c..
below, unless notice of lien Is reliled by the date given in column (e). Ihls notice (...1.....101 1/051
shall, on the day following such dale, operate as a certificate of release as defined
in IRC 6325(a), ~t3 tpso5
Tsx Period Date 01 Last Day lor Unplld Blllnce
Kind 01 Tlx Ended Identllylng Number Assessment Rellllng of Assessment
(a) (b) (e) (d) (e) (f)
1040 12/81/91 176-34-8651 J4/(I5/9:-< 05/05/08 8586.96
1040 12/:<1/92 176-34-8651 YE'I! 11/9:-< 0~;/16/(J3 5174.33
Place of Filing
Pt" ,) t h ,) not at' y Totll S
Cumberland County 18761.29
Cat-I is I e. PA 1701:3
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This notice was prepared and signed at
Phi I~d~lnhi~, PA
,on this.
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Signature
'- -'-' Title
-- Manager
j',,," Patt'lcia BetleJewski- ACS c:::-Ol-OI)OO
(NOTE: Certificate 01 otlicer authorized by low to take acknowledgments Is nol essontlal to the validity ot Notice of Federal Tax lien
Rev, Rul. 71"'66, 1971 ,2 c,a, 409)
Form 668 M (Rev. 1,91)
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Departmont of the Troasury . Internal Revanue Service
Certificate of Release of Federal Tax Lien
Form 668 (Z)
IRev. 10.20001
3358
Araa:
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (800l 913-6050
Sorial Number
For Use b Recordin Office
.(ld, fJ.r,'( ~ !,' ~"ll
eA-- 3.). '77
12..... 119 ~'j'(
239401225
I certify that the followlng.named tax payor, under tho requirements 01 section 6325 I
of tho Intornal Revonue Code ha. sati.fled the taxes listed below and all statutory
additions. Theralore, the lien provided by Code .ection 6321 lor these taxe. and
additions hes been released, The proper officer in the office where the notice of
Internal revenue tax lien was flied on February 28
1994 ,Is authorized to note the books to show the ralea.e of this lien lor
the.e taxe. and addition.,
Name of Texpayer
DENNIS F & BONNIE L KEPNER
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Residence 169 E POMFRET ST
CARLISLE, PA 17013-3315
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Liber
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COURT RECORDING INFORMATION:
Page UCC No. Serial No.
n/a n/a no961ftl1994
Tax Period
Ending
Ib}
12/31/1991
12/31/1992
**********
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KInd of Tax
la}
1040
1040
********
Identifying Number
Ie}
176-34-8651
176-34-8651
*************
Date of
Assessment
Id}
04/05/1993
05/17/1993
**********
Last Day for
Reflllng
fa}
05/05/2003
06/16/2003
************
UnpaId Balance
of Assessment
If)
8586.96
5174.33
****************
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $
13761. 29
This notice was prepared and signad at
Philadelphia, PA
, on this,
the
05th day of June
2006
Signature
Title Director, Campus Compliance
Operations
{NOTE: Certificate of oHicor authorizod by law to tako acknowledgments is not essential to the validity of Certificate 01 Release of
Fodorol Ta.lion Aov, Au!, 7t,466, 1971 ,2 C,8, 4091
Pan I . RECORDING OFFICE
Form 668 (Z) IAov, 10,20001
CAT, NO 600261
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