HomeMy WebLinkAbout94-05020
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'Form 668 (V)
,(Rev O,hJllIJI ItJ'Jlj
Uopnrtl11l!l1lIII IIw I'n.'llfiLJty . 1IIII/fl1ul f10VOIlLJll ~crvh:o
Notice of Federal Tax Lien
District I I, j 'I " ~L';~:~ ~'~~~IJ01__._-.~_~~_~~~=
Ae provided by socllon~ 6321, 6322, and 6323 III \Ill) Intcnllll Rl!\/"r1ul/
Code, we ere giving a nollce thot laKes (Including IlIler,,';t nnd ponlll\les)
, hive been essessed agall1~tthe followlng-namcd luxpnycl', Wo hnve modo
I dlmand for payment 01 this lIablllly, but It II,ll1ulllll lJllfHlld, Till/reforo,
Ihere Is a lien In favor of the Unllod Stutcs on nil properly nnd rights 10
property belonging to this taKpoyer for thc (111\011111 01 tlleGo lax<>G, and
, Iddlllonal penallles, Interest, and costs thai may uccrue,
IName of Taxpayer -----------------
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I Residence
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IMPORTANT RELEASE INFORMATION For I?i\cll ,";:;0:",1111,111 Ilsl,,,J bl!low,
unless notice 01 lien is r8filod by \110 (late gIVI!/1 1/1 COIUI1I/1 ('!), tllIe /1011(1! 1;/1,111,
on the day following such dnlo, opor;llo as a cl,~'ldlc;llrJ of /l;lfl;\~:O ,l~:; dt:lltll-!d
In IRC 6325(a ,
Tax Period
Ended
Ib)
Identifying Number
(e)
Date of
AS5"ssm"nl
(0.1)
Losl Day for
Reflllng
la)
II Ilt"I, I.'
Tolal $
Unpaid Balance ..
of ASlIessmenl
If)
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, on this,
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Kind of Tex
(a)
)I..j<
,Place of Filing
.
Illlll, I I Ill'!
'Li I I I,.',
This notice was prepared and signed at ---'--............
the
, I ','day of
,.',
1 9 --.:...:
SignatUrE!
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(NOTE: (""1', d!<.' n'f ,)11" f" .1'.II,"'I;,t,j I,~ !,I'.'.!<) !",.,. t
FlI!I,! Hili :1 .111 "j,' 1 ;l I., Ill':'"
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ParI 1 - Kcrt Uy Flecordinq Office
f'''111666 (V) (Flul 1093)
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..*-- 499 Depertment of the Treesury . Internel Revenue Servloe
'onn "8 (Z) Certlflcace of Release of Federal Tax Lien ,/
1"0.. 10'20001
Area: Serial Number For Use bv ReoordlnD Ollloe
WAGE " INVESTMENT AREA U2 I;, , .
Lien Unit Phon,,: (412) 395-5265 239410820 1'.;( ') ,'.1
I e.,llIv th.tth. lollowlno'n.m.d I"p.v." undo, th. r.qul,.m.nt. of .ectlon 63251.' I J:- I 'I I
at Ih. Int.m.1 R.v.nue Cod. h.. ..tI.fled Ihe t..e. lI.ted b.low .nd .11 M.tulerV ~~t. 1.'J'/1./~ (.l
.ddlllon., Th.relor., the lien provided bV Cod. .ecllon 6321 for the.e I.... end
.ddltlon. h.. been ,ele..ed, The proper olllcer In lhe ofllce where the notice 01
Int.m.1 r.v.nue t.. lien w.. lIIed on _..~..SeEt~mJ:l.~!__Q.?.._.__._________. , , ,
1994 , I. .ulhorlzed to nole Ih. book. to .how Ihe rele..e of lhl. lien lor , ,
th... t..e. Ind eddillon., ,
r
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Neme of T8XEe~r ,"'.1
LARRY R ORRAINE C SHELLER ,
Resldenoe 4 TERRY DRIVE
CARLISLE, pA 17013-9295 ,
I;.
COURT RECORDING INFORMATION:
Liber Page UCC No, Serial No,
n/a n/a n/a 94-5020FTL
Till P.rlod Dace of Lan Dar. for UnP-lld .,I,nc.
Kind of Till Endln. Idendfyln. Number Assessm.ne Re'" n. of As....m.ne
(el (bl (el (dl (.1 (fI
1040 12/31/1992 197-30-4830 05/31/1993 06/30/2003 260,83
*.....* ***........" ......**..... *********.. ..*****..... ................
Pleoe of Filing Prothonotary
Cumberland County Total $ 260,83
Carlisle, PA 17013
This notloe was prepared end signed at
PITTSBURGH, PA
h___ __ ,on this,
the
f April
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Title Campi iance Technica 1 Support
Manager
(NO'I: CertlflCllte of officer illlthurilod by IlIw fo luke acknowl~dOrllcnts i5 not ouential to the validity 0' CertiflclJte of Release of
Federal TOll lien Rev. Rill. 71,466, 1971 .2 C.B. 409)
'"n I -IlICOIlDING O"'CI Fo'm "I (1) IAe.. 10.20001
CA T. NO 600261