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Form 668(Z)
Depertmenl ollhe Trellury . Inlernel Revenue Service
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Certificate of Release of Federal Tax Lien
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'M Optional u.. by Aug '111011 omce
I~ 500 rd
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tZu 10"1014
Unpaid Balance
of Auea.ment
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CAT. NO &002&1
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1040 12/:::1/:::7 20:::-42-1;.:3>" 16/0(:./:;::::::
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(NOTE; Com"""'. g/ _ IUlhorlz..I'I>y'I.w,o _ _1O~" " nol.......' /0 1/16 valdly 0' Com"""'. 0' R._ 01 FodfHI' Tu Uen Rev, RuI, 11_ '971-2
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I certify Ihal sa 10 the lollowlng-nsmed Isxpsyer, the requlremenls 01 seellon 6325
(a) 01 the Inlemal Revenue Code hsve besn sallslled lor the Isxes IIsled below and
lor sll Slslulory sddlllons. Therelore, Ihe lien provided by Code seellon 6321 lor
these taxes and sddlllons hss been relessed. The proper olllcer In Il!e olllce where
the nollee ollnlsmsl revenue lax IIsn wss lIIed on ., I' " I I 1 '., ,
19 2:..- Is aulhorlzed to nole Ihe books 10 ahow ths releaae olthla lien lor these
taxea and addlllons.
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D ~ VIRGINIA ANTHONY
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503 S 20TH ST
CAMP HILL. PA 17ul1-~,",:'1
COURT RECORDING INFORMATION:
Liber Page UCC Na_
n/a n/a Ilia
Set I a: I No.
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Date 01
Assessment
(d)
Laat Oey lor
Rellllng
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Kind 01 Tax
(I)
Tax Period
Ended
(b)
Identifying Number
(e)
PIece 01 Filing
F' t" .) t h.) n (I tat" Y
Cumbet"land COllnty
Cat~1 isl(\, FA. J701.3
Total
This certlllcate was prepared and algned p'
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Form 688(Z) (Rev, 4.84)
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Form 668 (Y) Department ollhe Treasury - Inlernal Revenue Service
(Re.... OClobot 1993) Notice of Federal Tax Lien
District Serial Number For Oplional Use by Recording Ollies
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As provided by sections 6321, 6322, and 6323 of the Internal Revanue No, qLj - ;;'00'7
Code, we are giving a notice that taxes (Including Interest and penalties) FTL
have been assessed against the fOllowing-named taxpayer. Wa have made
a demand for payment of this liability, but It remains unpaid. Therefore,
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 )t:.,
additional penalties, Interest, and costs that may accrue. ..,
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Name of Taxpayer --
r,'(lNALD D 'J IR',11~;.' ~'\" 'I , I-It -q",J r '-'='
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Residence r~,(l :0\ r '::(J1H ST , r. ~
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IMPORTANT RELEASE INFORMATION: For each assessment listed below. u:> C.K~ 'lly,tf
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unless nolice of lien Is refiled by the date given in column (e), this notice shall.
on the day f~:~wing such date. operate as a certificate of release as defined cJ1q. 00 Jul.. ~pI-~ 89'11
in IRC.632S(IL,i' roc '<, ,',f""..TN." '''''F ",J" '., _~.
Tax Period Date of Last Day for Unpaid Balance
I Kind of Tax Ended Identifying Number Assessment Reflllng 01 Assessment
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I (a) (b) (c) (d) (a) (f)
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fj8ce of Filing F'r I) t hi:. r, t) t at~Y .
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~notice was prepared and s'igned at i-' 1 I., ':, ,[,t" c. t"f,.
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(HOTE: Ct!r1t1ic:.llo 01 oHicor aulhoflzod by law 10 lake acknowledgments is n01 ossentiallO tho validity ot Nolicu 01 Fodoral TOil lion
.. R.v Au' 7'.466,1971.. 2 C.B. 4091
Part 1 . Kept By Recording Office
Form 668 (Y) (Rev. 10,93)
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1 Form 66B (V) Department ollhe Treasury. Internsl Ravenue Service
I (R..... Oelob., 1993) Notice of Federal Tax Lien
IDlstrlct Serial Number For Optional Use by Recording Oll/ce
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1 As provided by sections 6321, 6322, and 6323 of the Internal Revenue No, '1Lj - ;)..00'7
I Code, we are giving a notice that taxes (Including Interest and penalties)
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I have been essessed against the following-named taxpayer. We have made
a demand for payment of this liability, 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 - '
j additional penalties, Interest, and costs that may accrue. :r...'
'Name of Taxpayer -
1"UNAUi D V] R() IN;.\ ;.\:-) , Hl'!j'~" <...;:>
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1 IMPORTANT RELEASE INFORMATION: For each assessment listed below. '- c..o C.K~ 'W-r1t./
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unless notice of lien is rellled by the date given In column (e), this notice shall,
I on the day following such date, operate as a certificate of rel&ase as defined t?cpl-~ 89'1 I
! In IRC.632511\1""".cf":, "'f':IG"I,\I ",'n' ",j '. " .~~ dtq, 00 /uI..
I Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ended Identifying Number Assessment Reflllng of Assessment
i (a) (b) (c) (d) (e) (f)
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IPlace of Filing F't- (I t h ,) f, (. tar",' .
0, Cumt...,,:.l... f, J 1 ~:. l.l.ri r; \, Total $ I~~.I,:,,::~:. ;-.,(.
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lThis notice was prepared and s'it/ned at ;>" , i.'
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ISignature
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(NOTE: ClHlificale of oHieor aulhorized by law to lakn acl\nowlndgmcnls IS not essential 10 Ihe validity at Nolico of Federal Tax lion
Aov. Auf. 71.466, 1971 . 2 c,e, 409)
Form 66B (V) (Rev. 10.93)
Part 1 - Kept By Recording Olllce
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