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Form 66S(Z) Department 01 the Treaaury - Internal Revenue Service
(Rev,e.97) Certificate of Release of Federal Tax Lien
District Serial Number For Use bv Recordlna OIIlce
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I certify thet thelollowlng-nemed taxpeyer, under the requirements 01 section 6325 (e) c.J U) ~
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01 the Internel Revenue Code hes satlslled the taxes listed below and all statutory ,. t.- ~~
additions. Therelore, the lien provided by Code section 6321 lor these taxes and ""Oti; c::
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addlllone hes been relsaeed. The proper officer In the office where the notice 01 ;%:. ... N 'M
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Internal revenue tax lien was IIled on " , , ~:~~ G'
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" I I , Is euthorlzed to note the books to show the release 01 this lien for ~c; ;no
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these taxes and addlllons. .'-/ "I
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Name olTexpayer )~c~ .. ~
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Residence f' (; r-',f"'.
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Kind olTax Tax Period Ended IdentifyIng Number Date 01 Last Day for Unpaid Balance of
(a) (b) (e) Assessment Reflllng Aeeasement
(d) (e) (f)
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Place 01 Filing
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This notice was prepared and signed at
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the
-- , ' day of
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Signature f/'o ~ ' /.., I Title
(NOTE: Certificate 01 officer lIurhortzed by law to rake acknowledgments is not euential to rhg validity of Certificate of Releas. 01 Federal Tax lien Rev. Rut. 7'-466, 197'.2 c.a 409)
PART 1 . RECORDING OFFICE Form eel (Z) (Rev,ll-97)
CAT. NO 800281
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IForm 668 (Y) Depertment of the Treasury. Internal Revenue Service
Notice of Federal Tax Lien
j(R.v. Oerobor 1993)
i For Optional Usa by Racording Oil/co
District . Serial Number
F't, I I ",-de 1 f.h I d - "-", ., t I.~ 1 .~ :- No. 9'-1. ~D13
As provided by sections 6321, 6322, end 6323 of the Internal Revenue FTL
I Code, we are giving a notice that taxes (Including Interest and penalties)
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have been assessed against the followlng.named taxpayer. We hava made
a demand for payment of this liability, but It remains unpaid. Therefore,
there Is a lien In fevor of the Unlled States on ell property end rights to
property belonging to this taxpayer for the amount of these taxes, and x:_
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addlllonal penallles, Interest, and costs that may accrue. ""
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Name of Taxpayer ~
ALICE SCRUTCHEN
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~ Residence ',-. , w
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1 r,JEW CUMBERLAI~D , f~'A 1 :'j.; {u:-" '1.'(" .
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, ~
unless notice of lien Is refiled by the date given in column (e), this notice shall, at,. 7/1/74
on the day fo~;~wlng such date, operate as a certificate of release as defined dJ,/,oo pO,
InIRC.B325a""'C'rr'~ "'h' rr"AI ""He r.., "" .' '" ... Rco{fr ~'l99
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ended Identifying Numi)er Assessment Reflllng of Assessment
(a) (b) (c) (d) (a) (f)
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1(140 1':'/" 11 :",.t 2:::(1-- '5-+ '" ';; ~.~::_:: ,,' - --'(I, .~ " " ') :~-',' ,:-,:::; 2'~lt..:."~.:!;::':
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1040 1 .:' I:: 11 :=:'5 2;~:O-5-4-9 'I .::C ',~;.' ...:';1):' '~'::' . .~ .. - - 2402. ,,::~:
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11)40 12/,: 11:,:,5 .2.:~;l)- '54 - ':;, 1 ;-:;;::; (; ? ,- l>.... ,.- :::;::~ (,': ,"\)..?' 1':,:'::; 2141.54
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Place of Filing F'rothorlota.,",
CUlober I and (.'_.uri t y' Totel $ 751 (1.:"(1
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(It" I 'j I (Ia I r;'C'c.)rd I fI'l Datil:
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IThis notice was prepared and signed at
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F'hll",delr,h11,
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, on this,
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:the ':t,1 dayof'r"',1 0"1~_.
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'Signature /'. :./ ~\..:--.' I Title . .' . ,. . .'
(NOTE: Cert!ficato 01 ollicer authorlzod by law 10 lako acknowlodgmunls is nol essontlal to the validIty of Notice of Foderal Tullon
Aoy. Aut. 71,466, 1971 .2 c,e, 409)
Part 1 . Kept By Recording Office Form 668 (Y) (Rev. 10.93)
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