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D.p.rtm.nt of the Trulury . Int.rn.1 R.v.nu. S.rvlc.
'Form 668 (V)
IR,v, Oelob., , 9931
Notice of Federal Tax Lien
For Opt'onal U.. by Recording Ollie.
AI provided by sactlons 6321, 6322, and 6323 01 the Internal Ravenue
COdl, we lie giving a nollca Ihat taxes (Including Interest and penallles)
h.v. been I....a.d Igalnltth. followlng-namad laxpayer. We hava made
a d.mlnd lor plymant 01 thll IIlblllty, but It remain. unpaid. Thar.lore,
th.r. I. e lI.n hI favor of the Unlt.d Slltes on III property end rlghtl to
prop.rty belonging 10 thll laxplyer lor Ih. Imount 01 th... tax.., Ind
.ddlllonal p.nlltl,a, Inl.r..t, .nd co.lethlt may accrue.
Name 01 Texpayer ! 1''/\ 1'1 Iii 1'1 ,1',\"
I !.. I~ 1:1 ,I I 1'1 I"" I J ! 1'1- ,
IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice of lien Is rellled by the dale given In column (e), this notice shall,
on the day following such date, operate as a certificate of release as dflllned
In IRC 6325 a ,
Tlx Period
Endad
Ib)
Dlstrlcl
SOrlal Numbor
1"'1', 1 I .\.j,' Ij .I, 1 I' I' f\
Residence
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Kind 01 Tax
la)
Identllylng Number
(c)
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",11
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'/41
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!Place of FIling
, .
Pr- " l h ,_, fl" t;"I. ~ y
ell/nl'I','1 d.fld ':,','\lrrtv
{ d,t' I 1 .,; I fl , I' ~\ I / .',1 ,I '..:
Date of
Assessment
(d)
1,1
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Unpaid a.llnee
of A.....m.nt
(f)
Lalt Day for
Ratlllng
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This nollce was prepared and signed at
F'I'11 I ,'i,lf_' II-'l'l i ','I I-'A
,on this,
Ilhe
,,1,1, day of
I'~" 'I t! Jill, (' t.
"i.\
,1,9_.
Slgnalure
("I' 1''-''111 II
I-.j Ilc')' ,j.1 I
Title
I~I . t. t I ,:1 ',J L \
I': lil,I'I,
(NOTE: CIHllflc,11Q r)l OIlICIH Bulhorlzod by law 1(1 !ilko ;lcknowlwJoment", IS nO!I;5~iJllIlal to tho valldlly of Notice 01 Federal Tax lien
Rev, Aul, 71466.1911,2 C B 409)
Part 1 - Kept By Recording Olflco Form 668 (V) (Rov, 10.93)
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'000 668 (Z) ] ,."
(Rey. 6-&'"
Olltrlct--'-
Dopor'mont 01 the Troosury . In'~rnol Revonue Service
Certificate of Release of Federal Tax Lien
Sorlol Numbor
For Un by Recording Ollie.
Ph I 11:\de I ph I Ii.
, ~'.1 J. ~ I 1~:
I Clrtlly Ihe' os to the followlng.nome loxpoyor. the requlromenls 01 eecllon 6325 (e)
of the Inlernol Revenue Codl havo beon lolislled for the taxes lIeted below end for
III otatutory addlllons. Ther~for8, tho Ii~n provided by Code secllon 6321 for these
'exel snd .ddlllons hos been reloosed. Ths proper olllcer In 'he olllco where thl
nolice ollntornol rovenuetox lion was lIIod on [I., 1 "IIlt,., I ,"
192:'-, Is In authorized 10 nota tho books!c; show th~ roleese 01 thl~ lIan for
theso toxos and oddlllons
Nome 0' ToxpayerJnHN A :31LWART
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CARLISLE. F'A 17013
COURT RECOHDING INFOI<MJ\T!ON:
Libel"' Pa8e UCC: Nc,.
;/ n/a n/a n/a
Tox Period
Ended
(b)
IS.copel
(<l.L tl I d'tt8/.Q ~
KiJ LjO/;).'~.
Last DOy for Unpaid aalance
Rotlllng 'of Assessment
(~ (~
Kind 01 Tax
(a)
Idenllfylng Number
rc)
Serial No.
94-n:l5lft I
Dale 01
Assessment
(d)
1040 12/31/9(' 2:09-56"62:95 11107/94 12:/07/04 3~i71.27
.******~* ********* *~***.******** *.~.*****~. **.>>**~..**,.~* ****************
Place 01 FIling
Pt." ~hon" t at.v
Cumbel"'land County
Ca.t- I I s Ie, PA 17/)1:3
Tolal
$
:3:371.:a
This noli\;t,-. waf! prnpnrad and signed al
Ph i I ado I ph i a.. PA
. on this,
24th l'"lay n 9'.,
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(NOIf.. C,"tl'.,.'!"';/ ( 1iLII''')"h',1 by I,JW ro 1./10/' ,'1< '.",:\\I,.dUn]r'(l''j~, Illll n',I'IlfI;,1 /l! 1I'lj ~.J/llJi/y 01 CIJf(dif',If,! 01 nt'll."I~e of FfldllfiJl Ta_lum R'III Ru/. ".4~8, '971.2
CR 409)
PAfH I . flECOnOING OFfiCE