HomeMy WebLinkAbout94-01478
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Form 668 (Y) ':;:36 Department 01 the Treesury . Inlernsl Revenue Service
(Rev. Oclobor 1993) Notice of Federal Tax Lien
:District Serial Number For Opr,onal Uso by Rocordlng Olllc.
Phi ladelnhia. PA "::"J"'-J40?_55~) 94- 1'-/7~ F7l-
As provided by sections 6321, 6322, and 6323 01 the Internal Revenue ftJo;:ri .
, Code, we are giving a nollco that taxes (Including Interost and penalllas)
I have been assassed against the followlng.named taxpayer, We heve made
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I a demand for payment of this lIeblllty, but It remains unpaid, Therefore,
I 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
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, additional penalties, Interest, and costs that may accrue.
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: Name 01 Taxpayer (") ::, fG
DENNIS iJ, zm:: D THEODORATOS c:
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, Residence u, W
101 RICH VALLEY RD. ... .~ '-
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MECHAN1CSBURG. PA H055 ..:t;:.i~...\ .c:
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, IMPORTANT RELEASE INFORMATION: For eac~ assessment listed below, .:~;: ~t" ::s:
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unless notice of lion Is refilod by the dato given in column (e), this notice shall, -, '" .
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! on tho day following such date, operate as a certificate of release as defined J;.. tWl,1 Q;,J5
I in IRC 6325 a). (lll -1'10'3
I Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ended Identifying Number Assessment Rellllng of Assessment
, (a) (b) (e) (d) (e) (/)
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I t040 12/31/92- 10(1-:30-772;4 ! 1.1 ::'2./9.?, 1:':/22./CI~: 18037 . 65
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Place 01 Filing
Prothc1rl(ltary Tolal $
Curnberland Count'!' 18037.6'5
Ca,-I is Ie. PA 1701:<
This notice was prepared and signed at Ph, I e.". I r,h, a. f'A
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. the (',' n ,day of Ma " t h ,~9-.::....2;:l.
, on this,
Signature Title
l'lilfln3er
23.01 -t)tJili)
f.:,t- P'ltl~lcia r:;;etleJ("'w':.I.i- .\C~<
mOTE; C..l!.!iC;J!l' 01 olLcfH ilull~Onll!d by law \0 l.lt.-1.: ,1(;\.,l"lowltldgr~("I\~ l'i not t!$!",cnll,lIIO tho vahdlly 01 Notice 01 Foderal T.u. hon
nt!~ nul i1 .tfiG. 1'371 2 C n. .s09)
Port 1 . Kept By Recording Office
Form 668 (Y) (Rev, 10,93)
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Ponft 668(Z) ::':::;1) Dttplrtm.nt 01 th. T....ury . Int.mll A...nu. Strvlce
,..... .. ...., Certificate of Release of Federal Tax Lien
o,,'rlet I 5erl~umber ,,,, OptloNl U.. by "'urrllng omc.
Ph i lade Iph I a, F'A ... >).1 !).:~5!:.~i
I certify th., .. 10 th. lollowlng.n.m.d I.xpay.r, Ih. r.qulr.m.nt. 01 Hellon 8325
(.) olth. Inlern.' R.v.nu. Cod. heve been .ell.lled lor Ih. I..e. lI.ted below end
lor .11 .t.tulory .ddlllon.. Th.r.lor., th. lI.n provided by Cod. .eellon 6321 lor
th... ,..11 .nd eddlllon. h.. been r.l.e.ed. Th. proper ollle.r In !h. ollie. wh.r.
lhe nollee ollnt.m.' rev.nu. lex lI.n W88 lIIed on I ~ <l " c h .: -1 .
li..2:l..- I. .ulhorlled 10 nol. lh. book. to .how Ih. r.I.... 01 Ihl.lI.n lor Ih... _I":", V)
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I.... .nd eddlllon.. ;;-.' ....
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Mm. 01 Taxp.y.r DENN I S - "
,', ZOE D THEI)DORA rn,e; <,
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Illllo.nee 101 RICH VALLEY RD. 7 '" ~ :; ~
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NECHAN.lGSBURG, ,. .
FA 1 7'.":;"'~' :~ ~ ':i 1.500 /~/.
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COURT RECORDING I NFORI~A T I Ol~ : e/?# 7.5'3,;:)7
L i bet. Pa:je UCC Nt) . Set" 1.3..1 Nil. ~t.p-
n/a fIla n/a "A" 14 t:~:f t 1 /5(933
Tex P.rlod O,'eol Lesl Oey for Unpaid Belence
Kind of Tex Ended Identifying Number Assessmenl Rellllng of As....ment
(I) (b) (e) (d) (I) (I)
1040 12:/:~1 /92- 100-;;(1-77:~:4 1/22/'-'.:: L'j ,:'::/0:: 181)37.65
................*- .......M-**iII:..jf *.........Jil! *. ....,... .,..... ,,..'It...-M........,,. __!It, iIl-"...... .,..... ~.*.~*.*******.*~~
PI.ce of FIling
py (I tIll:' n (, t; at"y Tol.1 $
Cumberland ('t:oun tv 1;'::(1:;:7.6':'
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Thl. cerllllclle ws. prepared Ind signed I'
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(NOTE: ~Ik"..,. 01 O~_~ by 1IfW.ff''1' '~mMIlS IS not essenM/,o the v,/tdItt 01 CMiftc.t~ 0' RMU. 01 Fedeli' r., u.n Rr;. RuI. 7r""" ri7r.2
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