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Form 668 (Z)
(Rov. 5.941
Departmenl ollhe Treasury. Internal Revenue Service
Certificate of Release of Federal Tax Lien
District
PHILADELPHIA, PA
Serial Number
239406125
For u.. by Recording Olllee
I certify that as 10 the lollowlng,name taxpayer, Ihe requlrementa 01 section 6325 (a)
ollhe Internal Revenue Code have been saUslled lor Ihe taxes listed below and lor
nil "'ntlltory nddltlons, Therelore, the lien provIded by Code sactlon 6321 lor these
loxes and oddlUons has been released. The proper olllcer In the olllce where the
notice ollnlernal revenue tax lien was IIIed on Mav 24
19 ...9!1-. Is In eulhorlzed 10 note Ihe books to show the release 01 this lien lor
these 'nxes and addItions
Nome 01 laxpoyer
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JOSHUA D & JOANNE LOCK
Resldenco
37 HILLCREST RD
WORMLEYSBURG, PA 17043-1141
-dq,-/ - ;)175
Tox Period Dale 01 Lasl Day lor
Kind of Tox Ended Identifying Number Assessment Rellllng
(0) (b) (e) (d) (e)
1040 12-31-90 172-36-2063 07-19-93 08-18-03
1040 12-31-91 172-36-2063 07-05-93 08-04-03
Unpaid Balance
01 Assessment
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6,842.83
65~8.83
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PROTHOOOTARY
CUMBERLAND COUNTY
CARLISLE, PA 17013
$72,121.66
Tolal
This nOlice wns prepared and signed 01
HARRISBURG, PA
,on this,
the 3rd any 01 October
.19~
Slgna~l
GROUP MANAGER
Tille
(NOTE Ct"1 !,c.llo 0' 0",(;1..'( .1L,ltlOflZl'd Oy 1.1,," ti.lI.I~tI ':1~...:..),t,ft'cJr]f7'(',,,:~,.s fief t'S5t>nt:,1' to Ihe ....ll:d.ty (II CerMc.1r" 01 Rell'aS6 0' Federal Ta.llffn Rev. Rut 7'-466, '971.2
C B 409/ .
PART 1 . AECOROIUG OFFICE
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I Form 668 (V) Department 01 the Treaaury . Internal Revenue Service
Notice of Federal Tax Lien Under Internal Revenue Laws
I IRev. Janulry 1991)
(Oistrlct
Serial Number For Oollon./ U.. bv R.cold/no Oft/c.
I qi- d'l05 l="TL
A. provided by sections 6321, 6322, end 6323 01 the Internel Revenue Code,
notice Is given thet taxes (Including Interest and penalties) have been
B1sessed agslnst the lollowlng.named taxpayer. Demand lor payment 01 thl.
liability ha. been made, but It remains unpaid, Therelore, there Is a lien In
lavor 01 the United States on all property and rights to property balonglng to
, this taxpayer lor the amount 01 these taxes, and additional penalties, .-
--
,
\ Interest, and costs that may accrue. r"L
Name of Taxpayer '
I . f'.,.,,',
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IResldence ."
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IMPORTANT RELEASE INFORMATION: With respect to each assessment listed ill ~'l ,Ou
below, unless notice 01 lien Is reliled by the date given In column (e), this notice
shall, on the day lollowlng such date, operate as a certificate 01 release as defined c.L.-~ -,393</-
In IRe 6325(a), R,d 10110
Tax Period Date 01 Last Day lor UnpaId Balance
Kind 01 Tax Ended Identllylng Number Ass.(~ment Rellllng 01 A"~3.ment
(a) (b) (Cl (e)
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This notice was prepared ,and stg~d at
,on this,
the
day of
.. /' ..:
Signature
Title
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(NOTE: Certificate of officer authorize
Rev. Ru!. 710466, 1971 ,2 C.B. 409)
y law to lake acknowledgments is not essential to the validity of Notice or Federal Tax lien
Part 1 . Kepi By Recording OllleD
Form 668 (V) (Rev. 1-91)
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Filed this
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= 1;1 i1"1 .!!! )J!li C.!: Co!! I.f"' I CD"! 111 jll"llfl1-" ii F!.1
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