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I C':3t:. Department of the Treasury - Internel Revenue Sorvlce
! Form 668 (Y)
I Notice of Federal Tax Lien
JlRev. October 1993)
!Dlstrict Serial Number For Optional Uso by Recording 0lliC6
I Ph, I ad.. I r,h I a. q.../ N77 FTL
, PA .-''''::':'4fJ,-: r:,.1:~: -
I As provided by secllons 6321, 6322, and 6323 of the Internal Revenue
I ? {)CJ fY.P
I Code, we are giving a nollce that taxes (Including Interest and penallles)
have been assessed against tha following-named taxpayer. We have made
I a demand for payment of this liability, but It remains unpaid. Therefore,
I there Is a lien In favor of tha Unltad ~tates on all property and rights to
t property belonging to this taxpayer for the amount of these taxes, and
additional penallles, Intarest. and costs that may accrue. ~o =
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IName 01 Taxpayer ,_.' ., :a
WAYNE R HANSON . !~ .-' r-.l
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IResidence "r." ~; '. w
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5238 DEERFIELD AVE "
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MECHAt' I CSBURG. PA 17::1:,':-,- ., '" ~~: :~I ....
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, - ~
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unless notice of lien is refiled by the date given in column (e), this notice shall, -<... ~ Cu..Ii'I~;).5
on the day fO~~Owlng such date, operate as a certificate of release as defined
in IRe 6325(a . R~,'~a
! Tax Period Date of Last Day lor Unpaid Balancl
Kind 01 Tax Ended Identifying Number Assessment Rellllng 01 ASal8lmlnt
(a) (b) (e) (d) (0) (/)
,
j 1040 12/',31/91 3'39-.34- :::~4 7 1 ':/1)7 /'~,'2 111/')6/1)::: 1:.177.32
1040 12/31/92 ~:5'?-3.1-:::84 ., t /2.2/'-;:.J 1.:J~:2/0:::: 119:37 .30
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,Place 01 Filing
j P,'othor'Citary Total $
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Curnberland C:c,unty 12614.62
Ca,-I is Ie. PA 1701 :::
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This notice was prepared and signed at
Phll;.l'I~,lr,hi;;. f:.'A
. on this,
'-
.r
, the
no r, ,day of
M::lrrh I 19~.
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Signature Title
f(ltO Pa tl" i ( I a Bet I eJel..,p.; ~ I - AC~,
t'1~lni)8er
:.:~: ,.l) 1 - (ltl>:,)(I
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INOTE: Ctllll!ICJlo 01 olhcor ,]lJlhOflzud by law 10 lake ,1cknowlcdgmunlS IS nol o~scnll;\IIO tho validIty of Nolica 01 Federal Tall: lion
Re..... Rut. 71.466, 1971 - 2 ca. .s09)
Part 1 . Kept By Recording Olllce
Form 668 (Y)(Rev, 10,93)
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Form 668 (2) 380 Ooparlmonl 01 tho Traasury . Inlernal Revenue Service
(ROY, 6-14) Certificate of Release of Federal Tax Lien
OI.lrlcl Serial Numbar For U.. bv R.cordlng 011101
Phi l~rl.>Inhia, PA ., -.0:;,.<1(,7549
I certify IhDlllto thl lollowlng.namelexpayer, Ihe requlr.m.nt. 01 lactlon 8325 (.)
01 the Inlernll Rlvenue Code h.ve been ..tI.f1ed lor the t.... lI.ted below .nd lor
.11 It.tulory .ddlllonl. Therelore, the lien provided by Code IIctlon 8321 lor th..e
lax.. Bnd eddltlonl h.. b.en r.I....d. Th. prop.r o"lc.r In Ih. olllc. wh.r. thl
notlcll 01 Inl.rn.1 revenull tax IIl1n WIS iliad on March 24
t9 ~ I. In eulhorlzlId to nota thll book. to .how the rlllell.lI of thl. linn lor '" ~
lhllss I..ell and addlllons :?-.,
N.mo 01 ToxpOYllWA YNE ....~- -
R HANSON ' ' (.J1
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Rasldanco 5238 DEERFIELD AVE N
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MECHANICSBURG. PA 17055-6841 \~'...~. ;m ~
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COURT RECORDING I NFORMA TI ON : 1'l'5.c:c,~
Liber Pago UCC Nc,. Serial Nc,. cu,u '6;).;:).(-/ L/- Roil
I'll a rota "/~ 0:;,"-' ..' 'I: :tloll.?' .,
Tax Parlod Dalaol Last Day lor Unpaid Balance
Kind of Tax Ended Identifying Number Assessment ReWlng 01 Assessment
(a) (b) (e) (d) (0) (f)
1040 12/31/91 :-<59-34-3847 12/07/92 (11/06/03 677.32:
1040 12/31/92 359-34-3847 11/22:/93 12/2:2/03 11937.30
********* ********* ~**,..*********** ********* ************ ****************
Place 01 Filing
Prothonc,tary Total $
Cumberland Cc'uroty 12614.62:
Carlisle. PA . 7(" ~-<
This nOlic& was prllpared and sign~d al
Phi l::t.rt~lp""i:ll. PA
. on Ihls.
Ihs16t h day 01 Ma v
/)
.19 qfi .
Tille
Chil!f, S.P.B.
(NOTE.; COIMcare of offiC.u JiJlhcflled by '0 la" aCAnO~lcdgmonl' " not essenMI to mil v"lieUy at C"tIf,C:.u. 01 R"flBS. 01 FId,ral Tax IiIn R,v. Ru/. 7'-468. '971.2
ce. <09)
PART 1 . RECOnDING OFFICE
Form lea (Z) (ROY. 6-G4)
CAT, NO 800211