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~ 380 Deportment 01 the Treasury. Intornol Rovenue Servlc.
~H'l~~~~~~~' 19~~! Notice of Federal Tax Lien
,!Dlstrlct SOrlal Numbor
1 Ph Ill.d.lllh II.. PA 23941:3203
1 AI provided by ..ctlon. 6321, 6322, and 6323 ot the Internal Revenue
I Code. we Ire giving I notice thet texe. (Including Interest and penaltln)
, 1,1 hsve beln ssee...d Iglln.tthe lollowlng-named taxpayer. We have made
I I d.mlnd lor p.yment olthl. IIlblllly, but II remains unpaid. Therelore,
there I. s lI.n In I.vor 01 the United StItes on III property and rights to
! prOperty b.longlng to thl. tlxplyer lor the Imount 01 these taxes, and
I Iddltlonll penllll.., Inter..t, Ind coste that may accrue,
time 01 Taxpayer JACK B S. MARV COOPER JR
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For Opriorl.11 US6 by Rec:ording Offl,.
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Residence
1 COOPER CIR
CARLISLE, PA
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IMPORTANT RELEASE INFORMATION: For each assossment listed bulow, lI'1.00"J
unless 110tlce 01 lion is reliled by the dato givon in column (0), this notico shall, l""
on the day following such dale, operate as a cortiflcClte of release as defined ell ti 7.'558"1
In1RC6325al. R~ 1~11l,..
rlx Period Date 01 Last Day lor Unplld Bsllne.
Kind 01 rlX Ended Identifying NUlnber Assessment Rellllng 01 A.....m.nt
I la) Ib) Ie) (d) (e) If)
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1040
1040
12/31/91
12/31/9'2:
175-6Z-4ZJ6
1715-62-42:36
06/01/92
051'2:4/93
07/01/02
06/23/03
1174.39
31159.80
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,Place 01 Filing
.
P,.othonotary
Cumberland County
Carlisi., PA 1701:3
Total $
4334.19
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'This notice was propared and signed al Ph i I a,1e I oh I a., PA
. on this,
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'the 29tl!layof
SDptemb,'1~ ~4
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Signature ---I T'lle Manage,.
lor Patr',e !~ Bet.t.J.......l<i- Ac:._L______ 23-01-0000
(NOTl: (;'~f!I~i\:olt" 0' nlfli,Hr hIJfb')~I.c'ld t1l I,IN I,) Itl",:! "\",)II!"!'I"",.\I I.,,: oj ":,,,'t,1' I,) !Ill! V,llldll)l of NO!Ir:a at Ff:lderJ,t rat lien
Fl,J'I I-ltJI 1 \ _\I)t; t'),'! ? I;. F.l .to'll
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ParI 1 . KepI By Recording Office
Form 668 lV) (Rev. 10-93)
Fonn ." (Z)
I"'., "'11
499
Deparlmenl of Ihe Truaurv . Inlernel Revenue Service
Cenlflace of R...... of Federal Tax Lien
Dlltrlet
PENNSYLVANIA
Serl.I Number
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ec In f ce
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239413203
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I c.rllfy ,h.,..,o Ih. lollowlng.n.m.d 1..p.yer,lh. r.qul,.m.nt. of IIcllon 83211 1.1
of Ihelnllln.1 R.v.nue Cod. h.v. be.n ..tl.lled for Ihe ..... 1I.,.d below .nd fo,
.11 ,,,'u'ory .ddlllon., Ther.fo,., th. lI.n provided by Cod. IIcllon 8321 for Ih...
I.... .nd addlllon. h.. be.n ,.I....d. Th. proper olllcer In Ih. olllc. where lhe
nOllc. of Inlern.1 ,.v.nue I.. lI.n WII lII.d on Novembe r 01
1994 ,I. In .uthorlzed 10 nol. Ih. book. 10 .how Ih. ,.1.... of Ihl. lI.n for
lhe.. I.... .nd .ddltlon..
elCpeyer JACK B & MARY C OPER JR
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Relld.nee
1 COOPER CIR
CARLISLE, PA 17013-9472
KInd of To
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1040
1040
***....
COURT
UCC No.
n a
Till 'erlod
Indln,
fb
12/31/1991
12/31/1992
..........
Idenllfy!n, Number
fe)
175-62-4236
175-62-4236
.............
RECORDING INFORMATION:
Serial No,
94-6232
~Ie 01
Assessment
fd)
06/01/1992
OS/24/1993
..*.*..***
LAlli Dw for
ReflOn,
f.
07/01/2002
06/23/2003
............
Un~ "lance
of AueulMnl
fl)
1174.39
3159.80
................
PI.ce 01 Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Tolel $
4334 ,19
Thll nOllee we!) prepared and signed al
PITTSBURGH, PA
,on thi.,
the --= 2 t.~ day 01 Ma y
2000
Slgn.tur. , I Tille
. . CHIEF, SPB
.
CNOTI: C'rtl'jcI" of officlr lutho,i18d by III'N to take acllnowledgments ill not eUlnti.1 to the vlllldlty ot C.,tiflcl'l of ".,.... o'
Flde..1 Tullon RIY. R\,1. 71466. 1971 .2 C.B. 409!
'an I . I.COIDING O"'CI
Form '" II) IRoy. '-971
CAli NO 60021'