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499 Dopartment 01 the Traaaury .. Internal Rovenue Service
Form 668 (1) Certificate of Release of Federal Tax Lien
IAo'. 10.20001
Araa: Serial Number For Use bv Recordlno Office
SMALL BUSINESS/SELF EMPLOYED AREA ~3 If (N. ,-/()O7 FTL.
Llan Unit Phone: (412) 395.5265 239408433
I certlly thetthelollowlng,n.m.d to.poy.r, undor th. ,.qul,.m.nt. of .octlon 632510)
01 the Int.rn.1 Rev.nu. Cod. hoe ..II.II.d th. t.... lI.t.d b.low end 011 .totuto,y
.ddltlon., Th.relor., th. lI.n provided by Cod. ..ctlon 6321 for th... to... .nd L'K-ft 1543(~5-
addition. h.. been r.I....d. The prop.r olllc.r In th. olllc. whe,. th. notlc. 01
Int.rnel r.y.nue t.x lien woo filed on _.__,. ",,,.':Iu 1 y._,,~,~..._ ____'m'..'___''''....,_'
~~_. Is .uthorlzed to not. the book. to .how the '.1.... of thl. II.n for (", 0 <"J
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the.. I.... ond .ddltlon.. :..-: :'t
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Name 01 Taxpayer RICHARD S & MARY E BAIR ~!.: ;.j ,
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Rasldenca ;t".(' ::r. "
842 BOSLER AVE ';:', J'
LEMOYNE, PA 17043 S;~;, C!? 'I'rn
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COURT RECORDING INFORMATION:
Li,~~r Page uce No. Serial No. IlllIO'65Y3
n a n/a nla 94-4009 ftl
Tax Period DlIce or usc DlIl. ror UnlNld .1Ill1nee
KInd of Tax Endln, Idendfyln, Number Assessmenc Rem n, of Asseumenc
Ie) Ib) Ie) Id) Ie) If)
1040 12/31/1986 182-40-9128 08/22/1988 09/21/1998 12293.67
....... *..*..*...~ *******...*** .....**... ......***... ..**............
Place 01 FIling
Prothonotary Total $
Cumberland County 12293.67
Carlisle, PA 17013
This notice was praparad .nd signed at
PITTSBURGH, PA
_ I on this,
the _.._:~t:_~" day 01
February 2001
Signature
Title Compliance Technical Support
Manager
(NOTI: CertlflCilht of officer ,Il.thnrilod by t,l,^, to t.lke acknowledgments is not lJssentllll tl) thft validity or Certificate of Release of
Federal Till( h~1l Rev, Alll. 71 466, 1971 2 C.B 4091
'"" I . lIeOItDING omcl
FOIm ,.. (I) IAav, 10,20001
CAT, NO 600281
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