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. /:- -:If 9,;L /f f4 Form 668 (Y) -::4(~ Deperlment 01 the Treesury . Internal Revenue Service (Rev. January 1991) Notice of Federal Tax Lien Under Internal Revenue Laws District Serial Number For Oo/lon.' U.. by R.oorrllnll omo. PA ~-<:':_1.1() 1 .: '.~:\.:( N?.. , PI, i I ad" I ph I a, CIIl' d. FTL As provided by secllons 6321, 6322, snd 6323 of the Internsl Revenue Code, Icr9t.f nollce Is given thst tsxes (Including Interest snd pensllles) hsve been assessed sgslnst the followlng.named tsxpsyer. Demand for psyment of this liability has been made, but It remains unpaid, Therelore, there Is a lien In favor of the United States on sll property and rights to property belonging to this taxpayar for the amount of these taxes, snd sddlllonal pensllles, , , Interest, and costs that may accrue. I- I, Name of Taxpayer JOHN F MIRA " CLAIRE [I BODNER a Par trlf I~ sh i P " , r' Residence 89(1 POPLAR CHURCH RD SU lTE' 2.04 110 '<'J CAMP HILL, PA 17011-22'50 .. ~ IMPORTANT RELEASE INFORMATION: With respect to each assessment listed U:.;.J ..c:. below, unless notice of lien Is refiled by the date given In column (e), Ihis notice L>__t! 11057 shall, on the day lollowlng such date, operate as a certificate of release as dellned in IRC 6325(e). P,t! <.oSU4> Tax Period Date of Last Day for Unpaid Balance Kind of Tax Endad Idenllfylng Number Assessment Reflllng of Assassmant (a) (b) (c) (d) (8) (I) 941 06/:30/92- 22 - 29:3951 7 0/18/-;>3 11/ 17/0:3 4449.82 941 09/:30/92 22-2,;13..1517 )2/2.2/93 0.3/24/0:;: 2:317.07 941 12/31/92. 22-2939517 )8/ :30/9:3 l)~1 /~:.';"} /0:3 185.4:3 , Place 01 Filing PrO,) th,)notar"y Total $ Cumbel'l and C')unty 6951.82 Car"11 s Ie, PA 1701:3 This notice was prepared and signed at Ph I I ";,, I ph i ,. PA ,on thIs, -~-lo'_...~........._ the 0:,>,'01 day 01 Fpb'"1I'1-1&' "'4 ,.... /- , ;'1 '0. ~I S~~rn :~ Title Rev>?ftup Of fie et. 2) -I) 1 - 1 ~ :?6 ftHO Tet-t-y Shutt (NOTE: Cortllic81e 01 ollicor authorized by law 10 lake ackno....lodgmenls is not essential to the validity 01 Notice 01 Federal Tax lien Rov, Rul. 71,466, 1971 "2 C,8, 409) Form 668 (Y) (Rev, ',91) "'" - r ~, ~ ..' ,.. , , '\ .... .. , I ... ~. , ......, j "I ., , . : ~ 1 . ",.' ': j .. ; I \ \,.1 ""' , ~-' , ..., 11'loetiIW",-J I I ! , i 'Autdold Lpnl 1II1ijO\.ll ur-1QO OJ tPUflUl .10 ..... ..."'. ; OJ pefqnl ~ tl.lllll \\l0\.l I n\l MlI"\II ~w.- Ulm>>i' iJ.lopellllft MlolIIW"J OLIM UOI*I Ad 01 PHOPIlP -ca law \~ ~I Aq ~,n~ UOII'Dqqo eutplrtltll'O MillO ~ . MIl 'uk:zti UOIPH OllutntJlld petlJ uaeq nil UlMIlO .)!lD'l ! I It''U4I1I DutPUlllVllJ 10 Iunowl to ImtOI:)I1Q lZ) -'s8sodJnd UOI\8JISIU\W -p\f XB! 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I it --*-- 499 Department 01 the Treasury. Internal Revenue Service Certificate of Release of Federal Tax Lien () !:,,; "Uf~' (11,' Name 01 Taxpayer JOHN F MIRA & CLAIRE 0 BODNER , a Par nership ..:::. ;.~ { rr' , -' r-:i.., ~1 ?; tl :.1: f~r; ;1.'('- N g ~ 5COpd./iU.- eJ<.. -1/ '03 fs.3 t. -it- Fonn 668 (Z) IR.v, 1().20001 Area: Serial Number SMALL BUSINESS/SELF EMPLOYED AREA #3 Lien Unit Phone: (412) 395-5265 239401238 I certlly th.t the lollewing,n.m.d t.xp.y.r, und.r the requir.m.nt. 01 ..ction 8325 (.) 01 the Int.rn.1 R.v.nue Cod. h.. ..ti.liod the t.... li.t.d b.low .nd .11 .t.tutory .dditlon., Th.r.'or., the Ii.n provid.d by Cod. ..etion 6321 lor th... t.... .nd .dditlon. h.. be.n r.I....d, Th. prop.r ollie.r in th. offie. wh.r. th. notice 01 int.rn.1 r.v.nu. t.. Ii.n w.. lil.d on February 28 1994 ,I. .uthoriz.d to not. th. book. to .how th. r.I.... 01 this li.n lor th... t.... .nd .ddition., Residence 890 POPLAR CHURCH RO SUITE 204 CAMP HILL, PA 17011-2250 Liber n a COURT RECORDING INFORMATION: UCC No. Serial No, n a no962ftl1994 Page n a For Use b Qtj-q(;"J ,.., c.J '-' "'1 n r -.l o '" ...f ., ;:-~ 17"1 -:':"} ~ ,.: ;~.} .,., .' .I '4,;.1 ,-, -._1 ::4' ....; Tax Period Dale of Last Day' for UnpaId Balance KInd of Tax Endlnl Idendfylnl Number Assessment Renlnl of Assessmenl (II) (b) (e) (d) (e) (f) 941 06/30/1992 22-2939517 10/18/1993 11/17/2003 4449.32 941 09/30/1992 22-2939517 02/22/1993 03/24/2003 2317.07 941 12/31/1992 22-2939517 08/30/1993 09/29/2003 185.43 ******* ********** ************* ********** ************ **************** Place 01 Filing Prothonotary Cumberland County Carlisle, PA 17013 This notice was prepared and signed at PITTSBURGH, PA the 24th day 01 November 2000 Signature Totel $ 6951.82 . on this, Title Compliance Technical Support Manager (NOTE: Certificato of officer authorized by law to taka acknowledgments is nol ossontial to tho validity 01 Certificato 01 Roloaso of Fodoral Ta. lien Rey, Ru!' 71,466, 1971 ,2 C,O, 4091 P... I . RECORDING OFFICE Form 668 (Z) (Ray, 10,20001 CAT, NO 600261 ~ ~ C'( ~ \ ~