HomeMy WebLinkAbout95-01465
, .
Form 668 (V)
IRIY, Oclober 1993)
{J
Depertment of the Treesury . Internal Revenue Service
Notice of Federal Tax Lien
r
District
Serial Number
Fa, Optional Uso by Roeo'dlng Ol/leo
r
rill t I ild.. J pIli .J.. P./\
. j'J~:,(l.":~_":-t .
HQ6_1'f1.o5 1=1L
,....
As provided by sections 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (Including Interest and penalties)
have been asaessed against the following-named taxpayer. We have msde
a demand for payment of this liability, but It remains unpaid. Therefore,
there Is e lien In favor of the United States on ell property and rights to
property belonging to this taxpayer for the amount of these taxes, and
additional panaltlea, Interest, and costa that may accrue.
Name of Taxpayer I,' II IIM':I' r, AL.' "1' .
,-
g.-:
:x
...
...
,....,
'"
,....
,..:, \
~- , "
,.
1"'1
h "1
C5
N
...
~
,..
.
! :: r---'
...,.....
Residence
10;.2 "I f U\CI-'uF
IAI'1P HilL, Pt.
.,
. (, I J
,-
:.: .1"'
-<
-
CD
.."
.,
I. ~ .
...
IMPORTANT RELEASE INFORMATION: For each assessml'nl listed below,
unless notice of lien Is reflled by the date given In column (e), this notice shall,
on the day following such date, operate as a certificate of release as defined
In IRC 6325 a .
Tax Period
Ended
(b)
KInd of Tax
(a)
Identifying Number
(e)
Date of
Assessment
(d)
IN,QO fXl
"l, tJ 7CJ'i'{4:J
P.ll 35\' " -"'"
Last Day for Unpaid Balance
Reflllng of Assessment
(e) (f)
''t
r;'
lU.l ()
I Z/', \ /('1
1')~' ~ J.-~ -l':~c:.~-l_
i :." 1 ~)/'~~1
I) 1 " 1 e / t)~:)
3~c: . .)~)
c
(
c
. .j
c.
Place of Filing
F'l"!) thf.lnO tal "
CllllltJ\! r' I dnd ' .,)\/(1 t.,.'
(~ ..1 r- I . '... I t} .. ,',\ -','.J 1
Total $
3~6 . \j~';
This notice was prepared and signed at
r'r : .,\.].' t llh I.].. ."'4
. on this.
the
~ ,.blll;()V 19 ]1,)
, -'
f ' '-,.~ " .
/-
<::::--'7" /
. ,
, .'
, '
Signature
-'
Tit~e
!'1, 111J IJ 'c' I
, r 1-' ,1 I ~ .
1,1 .,t-!.
,:-,
'-,'
l"';i r:.I<;I,
(NOTE: Cerlilleilto 01 ollieor aulhortlod by law to InklJ ncknowlodgmonlr. 15 nol uS5onll,11lo tho validllV 01 Nolico 01 Fodoral TalC lion
Rov. Rul 7t.466, 1971 .2 c.e. 4091
Port 1 - Kept By Recording Olllce
Form 668 (V) (Rev, 10.93)
,....
r--
,....
('.
(""'!
"
...
J
"'"
.\
-.!
"
4-
'"
~
.....
~
a-:
~
f\'
"*
..
~
"II
C"',)
Ai
...,..-.,.
it..\....
.
.....
\>,'1,
....
""
: ~.f,,,
~~
"'"
...
.
.
.
- ,..*--
Form 668 (Z) 8~8 Depertment 01 the Treasury. Internel Revenue Service
(Rev, 5-84) Certificate of Release of Federal Tax Lien
Dlltrlct Serial Number For U.e by Recording Olllee
r,.' I , . , , .. ' ,.,A ~ r. ,...r"',
I certify that.1 to thelollowlng.nlma taxpayar, tha raqulrementl olaeellon 6325 (e)
01 the Intarnal Revenua Coda have bllln lallllled lor the taxas IIstad below and lor
sll ststutory addlllonl. Therelore, the lien provided by Code section 6321 lor thes.
tax.. and eddlllons hss baan ralaaaed. The propar olllcar In the olllce where the
nollce ollntarnal revenue tax lIan was lIIed on Mal"ch ' .
~.
1922........ Is In authorlzad to note the books to show the release 01 this lien lor
these taxes and addlllons ..
- .~
Name 01 TaxpaYIf{ I CHARD ,.;.,
G ADAMS "
..
l~ _ ; ~
,
Residence .' . "
,- " ,,~,
102:2: W FOl<CROFT DR ~. _:
C:A~1P HILL, FA 17011--1'::::::::~r "
, ..
. " . ~ u:.-
<J1
COURT RECCIRDING I NFORMA TI ON: c.cu:.~, R l\. ~,,'fIo
Libel" Pase UCC No. Seria.l NCI. -.tiS, bOnd AdA"'"'
." , .." , ~ , ","'.. . .",--~
Tax Period Date 01 Last Day lor Unpaid Balance
Kind 01 Tax Ended Idantllylng Number Assessment Rellllng 01 Assassment
(0) (b) (e) (d) (e) (f)
1040 12/31/91 192-34-6892 12/1';'/94 01/ 18/05 398.95
****'11-****. 11-********* 11-************** ********.... 11-************ 11-*,11-*************
" =
.. ..~.~ <=>
c;: ~
"O'J -r.: , -
r-I!!' ,~
7"'1l ~ -
::-:-"., -1,
::, .. ~; CC
r ~' -I '"
~= r;':' ~~ ~ V1
~.... ,':.) <D
;z: .;.~ :r ::;
j;":-~ ) " =-
:~::; ;.. ::c:
, " -
""'.., <.c
...,.,
Place 01 Filing
Prothonotar'y Total $
Cumberland C.)unty 398.95
r- oO ' ~ ,_ nA . ~."..,
This notlc& was prepared and signed at
,on this.
r~, i I ~~ jell'> t\ i B.., r ft.
.;":-:">",,~~lt~", ~~"l{n;l.r.'U".,'-" \...
, ,ll~ ..
Iha.~~h~:~ ,day~'''';.. .....:...i.... .193.5.--
~/
I Title
Chief, S.P.B.
(NOTE: C.,Mcate 0' olliCer iJurho,iled by I.1w 10 ta~f1 :Jcllno~llX1gmonts is net t'ssenr,.,1 ta 1M \'.lhd,ty 01 CertlflCiJlo 0' Release 0' Federal Ta. lien RBV. Rut 1'.466, '9"-2
C,B 409)
, PART 1 . RECOROING OFFICE Form ooa lZl (Rev, 5-94)
CAT, NO 600201
~
f
~ , 'j
,
---
t','-'
,
:t_
.11l)
'"
,',
Lf.
Ul
'#
-
1- ,>
"'i ,> ~
~ ~. }
'J ,~'. .
, ,
of. \ " ;-I V .t t.'
,";:
,
l' r
.~, ~ ~. ~
';"":\::
~.' 0:" ~.. ;\.
l.(J
cr-
c:L
';,
, :.. ~-;
"';'
""'';f'
. .~~:,..,;.
r-~.~ ;'_,
tF' g
,'}:."--;'
iii
..~.'. - 'I '!. 1;1 (I
Ct. j ~
"
,,"
..' ,
" .
..
,-,>
"j