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" 380 D.partm.nt 01 the Tr...ury . Inlern.1 R.venu. Servlc.
, . IIlrm 668 (Y)
~.v, Octob" '0931 Notice of Federal Tax Lien
~)lSlrlcl Serial Number F or Optional Use by Recording o.!!!!!....
Phi ladelphla, PA 2'39413543 P CJJ/- tv J.'d. '6
A. provld.d by secllons 6321, 6322, end 6323 at the Inlernal Revenue FTL
Cod., we .re giving a notice thaI taxes (Including Inleresl end peneltles)
h.v. bltn 1....lad .gllnsl thelollowlng.nemed taxpayer. We heve mede
. amlnd lor plyment 01 thll lIabllllY, but II remains unpaid. Theretore, ~
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there II . lien In Ilvor 01 the United Slates on all property and rig hIs to ." ..
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property b.longlng 10 this taxpayer lor Ihe amounl ot these taxes, and . ,
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sddltlona' p.n'ltI.., Inlerllt, and costs thaI may accrue. .1
N.me of Taxpayer MICHAEL B & KAREN L MIKULA I': :~ -
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Residence 497 LEXINGTON AVE - -'
MECHANICSBURG, PA 17(155,,4481 .~ ~ ~
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IMPORTANT RELEASE INFORMATION: For each assessmenllisted below, .,1'1 uJ pd
unless nollce 01 lien Is r~Iiled by the date g,ven In column (e), this notice shall, (v..~ 7.555'4
on Ihe day '~~~wlng such date, operate as a cerliflcate of releaslJ as defined f..l!
In IRC 63251a , 1'8111
I Tex Period Dale 01 Lasl Day lor Unp.ld Bsl.ne.
Kind 01 T.x Ended Identllylng Number Assessment Remlng 01 A.....m.nt
I (a) (b) (e) (d) (e) (f)
l 1040 12/31/89 198-5c)-'11,S48 06/11/';/0 07/11/00 :379 .30
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'Place of Filing
, Pl"othonotal"Y
Cumb'l"land County Total S 379. :30
Cal" Ilsl., PA 1701:3
This notice was prepared and signed at
Ph i I ade I ph i a, F'A
, on Ihis,
,06th Oc tabel"
the day of
94
19_
Signature 1")1" ?tl" i c,;,~~,~t.1 e,Je"s,~ '~~~'; L~:__.. ~~~~~~~IOOO
{NOTE: C'Htlf'lr,lf;' nl 'If!;~I'r l"fI1,~I"")d bf '.IN t,} t 1!'" ,1 :"-,,\:.-<10: ,'II .~ ,. .'i"I", I' I,) lI'''I/~-':~~a(j~r.ll T,u lien
Alt'l ~ltjl " ,l,;fi 1 'L' 1 } r: 1:1 .V-l:' .
Part 1 . Kept By Recording Office
Form 668 (Y) (Rev 10.93)
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'orm eel (Z)
(~"". 1l-84J
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D'pIIrtm.nl DIllie T,...ury . Inllrnal "Ivlnue 1I",lel
Certlflclt. of R.I.Ise of F.d.rll TII Lien
Ser,.1 um.,
O"I.e
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I eertlly th.t..IO thelollowln".n'IllII..p.y." Ihe rlqulrollllnt. ollllllon 13211 (I)
DIllie Interllll Rlvenue CodI hovI bien ..1I.llIdlor th. lI.e. 1I.11d below .ncllor
.11 t1.lulory Iddlllon.. Thoroloro. the lI.n provided by Cod. IIIlIon 1321 lor 11'1"
I.... .nd .ddlllon. ho. bien rol....d. Thl proper o"le., In IhI o"leo wllerotlle
nolleo ollnl,,",1 rovenuet.. lion w.. IIIId on ____"
18 _. I. In ,ulhorlzed 10 nole Ihe book. 10 .how Ihl rol.... ollhl. IlIn lor
Ihe.. I.... .nd Iddlllon.
N.me 01 T..p.yer .
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Kind 01 Ta.
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End.d
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L..t C.y 10' Unplld B.I.nee
Rellllng 01 A.....lIlInl
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Identifying Number
(e)
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PI'c, 01 FIling
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ThiS notice was pr19pclflifd and signed at
. on thiS,
th~ dayul___._ 19_._
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CAT. NO IllOIII
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