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. Form 668 (V) , Department 01 the Treasury, Inlarnal Revenue Service
Notice of Federal Tax Lien
(Rev. OclobtH 1993)
District Serial Number For Opl/ono' Uso by Roeording DilleD
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As provided by sections 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (Ir.cludlng Interest end penalties) f=rL
have been assessed against the fOllowlng,named taxpayer. We have made
! a demand for payment of fhls liability, but It remains unpaid, Therefore,
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I there Is a lien In favor 01 the United States on all property and rights to
I proparty 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 of Taxpayer ;'L: If,r' ~ I V/\t,i i i- ~ I ,_,,' , -
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, IMPORTANT RELEASE INFORMATION: For each assessment listed below, .&;...
i unless notice of lien is refiled by the date given in column (e), this notice shall, jlG.oord
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, on the day loll owing such date, operate as a certificate of release as defined clq.1oq3'~
I in IRC 6325 a). ~d /1'>115
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! Tex Period Date 01 Last Day lor Unpaid Balanca
, Kind of Tax Ended Identifying Number Assessment Reflllng 01 Assessment
I (a) (b) (c) (d) (e) (f)
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This notice was prepared and signed at
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the day of , 19~,'
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, on this,
Signature
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(NOTE: C"rI!'C,I'" 01 ol!ocur :H,lhofl;ed by I,W. 10 lal..e acl..nOhl!lclflrt'tH1It, I;; "01 ussenllallo the valldlly of Nollce 01 Foderal Tax lien
Rev 11111 ,'I >1 (iti 19/I ;! C B 4091
Parl 1 - Kept By Recording Dlllce
Form 668 (V) (Rev. 10-93)
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941 06/30/92 23-1601018 3/21/94 04/20/04 11376.83
941 03/31/93 23-1601018 2/28/94 03130/04 8666.04
(~) 941 06/30/93 23-1601018 2/28/94 03130/04 9036.80
941 09/30/93 23-1601018 2/28/94 03/30/04 8662.13
941 12/31/93 23-1601018 3/28/94 04/27/04 2264 . 11
\,.) 940 12/31193 23-1601018 )3/28/94 04127104 85.66
********** *****it*** ************** ********* ********* ******************
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'orm 668(Z)
Depertment of the T....ury , Internel Revenue Service
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(.... AprtI,...)
Certificate of Release of Federal Tax Lien
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FIN Op/lOlll/I U.. by _"",,,,,,,,.
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Philadel hia. PA 2:39405848
I certify thst .s to the fallowlng,nsmed tlxplyer, the requirements of seellon 6325
(.) 01 the Intem.1 R.v.nu. Code h.ve been salls lied far the taxes listed below Ind
for III stltutOry .ddltlons. Therefore, the lien provided by Code seellon 6321 for
the.. taxes .nd .ddlllons hes been released. The propar ollleer In the olllee where
the nollee of Internll revenue t.x IIln WI' flied on M" Y :? 4 ,
19....2L, Is .uthorlzed to note the books to show the relee.. of thl. IIln lor the..
t.xes .nd Iddlllons.
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.me 0 .xpayer PENNSYL V AN I A AUTOMOT! VE WHOLESALERS
ASSOCIATION STATE CHAMBER BUILDING
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4601 GETTYSBURG RD
MECHANICSBURG. PA 17066-4324
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COURT RECORDING INFORMATION:
Liber Page UCC No.
nla nla nla
T.x Period
Ended
(b)
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c.Ld\ 80105
~!I ~"P30
Last O'Y for Unpaid B.I.nce
R.lll1ng of As....ment
(o) (t)
Set-Ial No.
94-2778ft I
O.te of
A.....ment
(d)
Kind of T.x
(I)
Identifying Number
(e)
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PI.ce of Filing
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Prothonotat'y
Cumberland County
Carl isle. PA 17013
$
Tot.l
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39869.47
Thl. certlllc.te w.s prepared Ind signed I'
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tht'':r+-h day or,....':I...,......
t 19 or=::
(NOTE, C
C B. <09)
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honz<<1or I.Jw to "ll, a~wledQem6nt.. IS not essential to thB v'hdlty of eerMe..'. of R"'-'S8 of F<<Jst,f r..l.Jen R~, RuI. 11.466. 191r.2
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CA T NO 600161
Farm 668(Z) (Rov. 4.84) ~
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Release of Tax Lien
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and JllOiier entry made In
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Book No.
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CllIlk (or RegIIlIIIj.
Form eee(Z) (Rev. 4-84)
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