HomeMy WebLinkAbout94-05655
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Form 668 (Y)
Oepdrtmanl ot Ii,.) Tf'3J'JUr"j . Internal AeIJenU8 S.rvlcl
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(R411 O":hlll<lll)JJ
Notice of Federal Tax Lien
D'Slllct
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Fvf OplilJndl UJtJ by R6cording Office
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As provided by sections 6321, 6322, and 6323 0' Ihe Internal Revenue
Coda, we are giving a nollce that taAss (Including Interest and penallles)
have been assessed egalnst the followlng,named taxpayer. W~ have made
I demand for payment of thla liability, but It remains unpaid. Therefore,
there Is . lien In favor 01 the Unlhld States on all property and rights to
property belonging to this taxpayer for the amount of these taxas, and
Iddlllonal penalties, Interest, and coats that may accrue,
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jNama 01 Taxpayer
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I Residence
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IMPORTANT RELEASE INFORMATION: For each ;Jssessment listed below,
unless notice of lion I.. r~I"rcj by lhn dJIB ",ven If1 column (e), this notice shall,
on the day 101lowinQ such rU~i) opor.lt~ }C1 ccrtil'C3t0 01 release as defined
frtrno~O(I!I.
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Identifying Number
(e)
Dale 01
Assessment
(d)
Last Day for
Reflllng
(e)
OD7S..J9.;L
111'611.
Unpaid Slllnce
of Alaellment
(I)
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Kind of Tax
(a)
Tax Period
Ended
(b)
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Place 01 Filing
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Total $
,1-' j ,1'.'1
This notice was prepo:red and signed at
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the
day 01
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Signature
Title
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i NOTE ';iH:!ff,~"I:-t- "'V~!' ..,t'-{'J"""'"7T1:-! 't~1 ,.., ,., ! j.<.. ,
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!p,,! ..li'l,!,- of ~j'J!'l:l} 01 FIJdllr,11 T Jl Ilun
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Part 1 - Kept 8'1 Rccord,"') Offlco
Farm 668 (V) (Rev, 1093)
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Fonn 668 (Z)
IRlv.1Q.20001
499
Department of the Treesury . Inlernal Revenue Servica
Certificate of Release of Federal Tax Lien
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA n3
Lien Unit Phone: (412) 395-5265 239411722
I esrtify thaI ths following.namsd tsxpayar, undar the requirements of netlon 6325 Isl
of tha Intarnal Asvsnua Coda ha. IOlisfled ths tue. 1I.lsd below snd sll slstUlory
sddllion.. Therslors, Ihe lien provided by Code seelion 6321 lor these tues and
addition. hss basn relslled, Ths proper oW car In the olfiea whare Ihs notice of
internal ravenue lax lien was filed on October 03
1994 ,is suthorlzed 10 note Ihe book. 10 show Ihe relasSl of this IIsn far
the.a taxes snd sddllians.
Name of Te.paye~
KENNETH R ROUSH
KEN ROUSHS HAULING
For Use b Recordin Office
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Rasidence14 PARADISE DR
CARLISLE, PA 17013-9725
RECORDING INFORMATION:
Serial No.
94-5655
KInd of T.1X
(a)
940
COURT
Page UCC No.
n/a n/a
T.1X Period
Endlnl
(b)
12/31/1993
..*.*.. *.........
Idenllfyln, Number
(e)
23-2478668
..........*..
Date of
Assessmene
(d)
06/06/1994
.*........
we Day for
Reflllnl
(s)
07/06/2004
..........**
Unp.ald B.1l.1nce
of Assessment
(f)
3527.68
**...........**.
Liber
n/a
Place of Filln9
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $
3527.68
This notice was prepared and si9ned at
PITTSBURGH, PA
, on this,
the
24th day of May
2002
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Title Compliance Technical Support
Manager
(NOTE: Certificate 0' oHicer authorized by law to aka acknowledgrnents IS not essential 10 the validity of Certitlcat. of RII..... 0'
Federal Ta;..; lien Rev. Rul. 71.466, 1971 . 2 C.B. 4091
rut I . RECORDING OFFICE Fa'm '" (Z) CRe.. 1 ().20001
CAT, NO &00281
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