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Form 668 (V) Depertment at the Treesury . Internal Revenue Service
{Ra\l_ Q(.lobur 19!1J1 Notice of Federal Tax lien
District Serial Number For Opriona' Use by Rocording Ottics
I c'." 1 . , L . -:-"-:>.:,.,1,'\"':":-,,,:. No. I 11 <=J FTL
! As provided by sections 6321, 6322, and 6323 of the Internal Revanua /991-
I Code, wa are giving a notice that taxes (Including Interest and penalties)
I have boen assessed against the followlng.named taxpayer. We have made
I I demand for payment of this liability, but It remains unpeld. Therefore, 11 q. 0 cJ p,,( .
\ there Is a lien In favor of the United States on all property and rights to
property belonging to this taxpayer for the amount of these taxes, and ' .'
1 -
additional penalties, Interast, and costs that may accrua. "
, .L'
'ffama of Taxpayer ..
ERNEST J . WAU::ER =
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'Residence r
I IT 8RENNEt~AN CIRCLE 1-"
r~ECHM~ IC,~DURG, FI, 17!)~.5 -'
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IMPORTANT RELEASE INFORMATION: For each assessment listed below. LO
I .J>:..
unlass notice of lien Is reWed by the date given In column (e). this notlca shall. L\..o-~ I\O?l..o
on the day fo;~~Win9 such date. operate as a certificate of release as defined
in IRC 6325( '" .. -- ... ,0" ' ., p." 'lal'
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ended Identifying Number Assessment Rellllng of Assessment
(a) (b) (e) (d) (a) (I)
941 12/:31/85 23-16::-:8426 04/27/:3-::: OS/27/98 72:32. -:"):3
941 03/31/86 23-1628426 04/27/8::: OS/27/-;/8 6899.07
941 06/30/86 2:;:-162.842.::- 04/27/88 05127/"'8 6563.51
941 09/'30/86 2:3 - 1628426 1)4/27/8:3 OS/20( /98 6691.60
941 12/:31/86 2:3-1628426 04/27/88 OS/27 /~"8 6541.4:::
941 03/31/87 2:3-162842.6 1)4/27/88 0512.7198 6305.40
941 06/:30/87 23-1628426 04/2.7/88 05/2.7/98 ,S278.14
941 09/30/87 23-162842t!. 04/27/88 OS/27/98 4945.00
941 12./:31/87 23-1628426 1)4/27/88 OS/27/98 4830.27
I
I
lplace of Filing Prothonc.tary
Cumberland County Total $ 56287.40
I Ca,ol is I e. Pl\ 1701~:
C"o;~i.,~1 Dnr' o";,,~ n~~~.
14:41 91 4748
This notice was prepared and signed at
r.>.l" i I ..... 01 s: I ~.. ~ I 1 Ll fI
, on this,
the '-:>'lttl day of S:-~ht.Il::'tI.""
.191__
Signature
I Title
Chief, S.P.G.
lUOTE: r.,'I:,'1(.1:1' 01 olhc.'r .:ltJll'ori:ed tJ,. I".... \0 I.1;.,lj ,lc:~,rJ",,'lt'~g'l".cr't~ 15 rot tlsscnl,a! 10 the valldlly of Nolice of Federal Tall hen
nil.... r1:jl 71 .If,(,_ El71 .:> C n ~D~li
Part 1 . Kept By Rccordlng Office Form 668 (Y) (Rev, 10,93)
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