HomeMy WebLinkAbout94-05649
._--_._,-~....... .-..-......-...-
Form 668 (V) Oopartmont at :I'lil fidi.l]ury . Inrotnal Rtt'.Jel1lHt Sttrvlc.
Notice of Federal Tax Lien
(A." OI;I.)')-3r I.H),!
'Oi51r1CI Se"dl Numo,j( Fur OVfl(lll.'li UJ<f by RflcordinQ OfficII
" , ,. , 1/ 9'1 - .51.'17
AI provided by sllctlons 6321, 6322, and 6323 01 the Internal Revenue
i Code, we are giving a nolice Ihat laxes (Including interest and penalties)
I have been assessed egalnstthe lollowlng-named taxpayer. We have made c-":l
, e demand lor payment 01 this liability, but It remains unpaid. Therafore, n
.....
! there Is a lien In lavor of the Unlled States on all properly and rights to
property belonging to this laxpayer for the amount 01 these laxes, and ";',d
!
1 additional penalties, Inlerest, and costs that may accrue.
-
IName 01 Taxpayer p.,~
I , , .:j ,I r.J
-u
I Residence :s:
-
'. ~
I ,.;;;..
I -19.(:,0
IMPORTANT RELEASE INFORMATION: For eacn assessment listed below, C./(Jl fX>7SJ9;U
unless notice of lien is reliled by the dale given in column (0), this no lice shall,
on the day 101l0wlng such dale, operate as a certificate of release as defined IV! Ilg<6'Ols:
in IRC 6325(a).
I Tax Period Dale of Last Day lor Unpaid Balance
Kind of Tax Ended Identllylng Number Assessment Rellllng of Assessment
I (a) (b) (el (d) (el If)
I
I
, .. 4 ' ,
, "
I
I
,Place of Filing
.: \.: ,~, I. '-'::.l.i Tolal $
,
':lIIL~~ ! ; .ili'l '.j
'ii'l i ; i ,
I
J
I
J
1
I
I
:This notice was prepared and signed at
....
, on this,
/-
1the
I
/ '/.:
-i ~/
"j, ,19~,
day of
Signature
Tille
iNOTE- C,;n"',:,\~" L)! :)~'";,,, L;':' ;~,,:,'J [i'1
R'jj H", ;'! ,\'i') 1'},: l 2 c; 0 .\':']1
i'" :" ~ i ' ' ; I
"
'.' '-:.\1 r:J 1tl'J 'J.liHj'ly af N01'Ctl 01 FaUtHdl T cl,l hUrl
Part 1 ' Kept By Recording Office
Form 668 (Y) IRev, 10.93)
,..,
'.,.i
1"\
....,
, I
~
.""
"
r.
Q
o
()
c
.
.
.
" I
.
.
c
...~.
\&,..
L
("")
...
"'"
,'"'"
~ ,-.,
~
;)-
...s
~
j
~
~
--tt--
Form 668 (Z) 3:::1) Oepsrlm.nl ollhe Treasury. Inlernal Rev.nue Service
IROY, 5-0') Certificate of Release of Federal Tax Lien
Ol,'rlcl Serial Number For U.. by R.cordlng OUI.e
P~,II,.-1AI"~">, PA c-<9411o;67
I certify Ihal II 10 the lallowlng.n.me lupayer, Ihe requlrsm.nta 01 escllon 6325 (a)
01 Ihe InlslO.1 Rev.nuI Cod. hIve bien ..II. lied lor Ih. lu.. 1I.led bslow and lor
ell .Ialulory .ddlllon.. Thl",,'orl, Ih. lI.n provldad by Cod. ..cllon 6321 lor Ihe..
lun and addlllon. h.. bien r.I....d. The prop" oNle" In Ihl oNlcl wherl Ihl
nollce 01 InlslO.1 rlv.nue lax lien w.. Wed on 0 c t (, t, It,. (I J ("'t~ II'
19 ~ Ie In euthorfud 10 nota lha book. 10 .how Ihe riles.. 01 Ihl. lien lor r'
..'CO'
IhllO laxlS and addition. ., "l :,.., -
.."
Nome 01 TlXpaye\.tAR~: .". ,
R ~~RUGr;:R '" -
.,
r'?"-" -
._l,.:':'!',.tt or
'..: <:' ,~~:'1
Ruldenee ,'. ..~ II
40'5 N COLLEGE S1 1.'_ '''1,11.
'.
....t...
CARLISLE, PA 17013-1846 :'::7" tM
...
COURT RECORDING INFORMATION I 1\ ,;, l....J\ll.l
Liber P;L:;Je UCC N(I. Serial No. (,,-.I lI":l-:J<1'I ~~l Jlou ~ll
n/a. nla. nla 94-Fo"'49
Tex Period Oate 01 Lasl Ooy lor Unpaid Balance
Kind 01 Ta. Ended Identllyln9 Number Assessmenl Rellllng 01 AlIsssmenl
(a) (b) (c) (d) (e) (I)
1040 12/31/92 209-36-6864 11/29/93 12/29/03 74"(2:.06
********* ********* ************** ********* ***-Mo.******* ****************
Place 01 Filing
Prothonot;Lry Tolal $
Cumberland County 7472.06
Ca.r 110; Ie. PA 1701.3
ThiS nulic6 was propared and signed at
Phi I~dplphi~. PA
,on Ihls,
Ihel",th d,yofMav
,1922-.
I T,lIe
(NOTI;,' Cllfr;!;C,II" lJI lyr,';rJf "urho'IIN by IJW 'fn.l'Il' "(.IIrto~'~mllnt' " /lol .SStintr.11 hJ /h. ",JI,d,ty of Cor/drc..f1, 01 Ru'.". of F<<J."I T,.rl,.n R.'tf. Rul. 1""6~. 1911.2
Ce409) ~~
',.
,
SlgnallJlc .
'.:-'J
Chief, S.P.B.
PART I . RECORDING OFFICE
Form liS (Z) (ROY. 5-~)
CAT, NO eoo2SI
.,
!
, :~: 1 1
.lWP'
e !. , F ~,
!! d
.,to
1\'-'
~f i
oL
I
0-
~
~
.
" '.
k J ... Ii!. "It If- i;. ..,--Il'.j.; It-. ,
~ M: " V
~ :r-'
",. <+)\
+ *".
";1: ~ K"
-\'-~
.~~~"'''''',-1C,'tlt*';: "'~'f.
\ V "(-.
l,.,i,-,\
i!,"f
I
~
,_ . :1
~;
,I _:
'f '-..i ;~.
I"
, "
f;
i"'" ...ldi: i Jl'
J. ~ .J,'
,'":0,
,,\
~
it
f.:,!
!,~ ',t' '
'.
1,'.'<
~T"_
Ii'"
~:~
~"
t,"..)
~
;'j
~.
; ! t,
- ~~ '.' ,