HomeMy WebLinkAbout94-01482
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'Form 668 (V) u Doportmont 01 tho Troasury , Infernel Rovenuo Sorvlco
tA.... Oc:;:lobuf 19,)J, Notice of Federal Tax Lien
District Serial Number For Optional Uso by Recording Ollie.
Pt'l I adf' I r,t. J a. PA ~.- ~).hl..: 1 1 ", 94- 1'18,) FTL
As provided by soctlons 6321, 6322, and 6323 01 the Inlornal Ravanue 9. tJO ;C'cI'.
Code, we aro giving a notice that taxas (Including Interest and penalties)
have been assessed against the followlng.named taxpayer. We have made
a demand for payment of this liability, but It remains unpaid. Therelore,
there Is a lien In lavor of the United Stales on all property and rights to
property belonging to this taxpayer for the amount 01 these taxes, and f,,'~ :::c
additional penallles, Inleresl, and costs that may accrue. f:;
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Name of Taxpayer Y'. ......
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JERRY A DIVELY "::.:,t':-
supEr, BRITE JANITORIAL :::Er,VIlf: ~. :'~ ~~: ~: I w
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, Residence ... <-J:_i_.'l U\
1 f550 WILLI A~I::; GRC'VE f,D NC' J ::..c. ,~ -')'~) ~ ....
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, MECHAN I SC[<UR(,. hi 17 (I~.~, -~. -. .l7 t-, ; ~:.if'T1 .=
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IMPORTANT RELEASE INFORMATION: For each assessmenllisted below, -< -< ~
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, unless notice 01 lien is refiled by the date given in column (e), this notice shall,
. on the day following such date, operate as a certificate of release as defined (\.>.1\ 'I ;)'~5
I in IRC 6325 al. Rl\ llllD
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ended Identllylng Number Assessment Reflllng of Assessment
(a) (b) (e) (d) (a) (f)
i "141 0';'/30/..:')2- ~7~'3- 1.:,.-1418(1 ":~-,' z.:::',I ';"':: I . t .I 28 / o::~ :~484. 66
! '~41 O'~/30/92. ~~5-1::44(:::O 1:,.:28:";-":"::: I", r' /.-:'8/0'-:0: :3508.42
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Place 01 Filing
F'r (Ith(.r'(l t i1r 'f Total $
Cumberland (":'lJntv t_~':)';-"'::-{. 0::\
Ct\t- t I ~ I P. PA 1 r{J 1 :.-;
This notice was prepared and signed at
Fhllrl,l.-Ir.h;.,~ ["'f\
. on this,
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the
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Natch . 19~.
Signaturo
Title
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(NOTL Cl'r\"'(,1II' 01 ol!,cl!t .lJlhOfi.;':l!d by !,h" 10 !;l;."l.) ,ICj.._~~"...il'dq"C;]I~ I~ noll'~.~.t'ntl...11 to Ihn ....afldlty 01 NollCU of Federal Ta. IlUn
He.... fl,;' 71 -16li, 19,"1 .2 C 8 409)
Part 1 ' Kept By Recording Ollice Form 668 (V) (Rev. 10.93)
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