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1008
Department of the Treasurv - Internal Revenue Service
Certificate of Release of Federal Tax Lien
Form 668 (Z)
(RllY. 10-2000)
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #3
Lien Unit Phone: (412) 395-5265 239502055
I certify that the following.namad taxpayer. undar tha requirements of section 6325 101
01 the Internel Revenue Code has satislied the taxes listed below end all statutory
additions. Therefore, the Ii an provided by Code section 6321 lor these taxes and
additions has baen releesed. The proper officer in the office where the notice 01
internal revenue tax lien wes tiled on March 22
1995 ,is euthorized to note the books to show the releese 01 this lien lor
these texes end additions.
Neme 01 Texpayer
JACK & CATHY PUTT
For Use b Recordln Office
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Kind of Tax
(a)
1040
********
COURT
Page UCC No.
n/a n/a
Tax Period
Ending
(b)
12/31/1993
**********
RECORDING INFORMATION:
Serial No.
95-1471-FTL
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Residence 101 BUNGALOW RD
ENCLA, PA 17025-2313
Liber
n/a
Identifying Number
(c)
198-30-4274
*************
Date of
Assessment
(d)
OS/23/1994
**********
Last Dar. for
Renl ng
(e)
06/22/2004
************
UnpaId Balance
of Assessment
(f)
5234.56
****************
Place 01 Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $
5234.56
This notice was prepared and signed at
Philadelphia, PA
, on this,
the
15th day 01 October
2003
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Title Compliance Technical Support
Manager
(NOTE: Certificale of officer authorized by law to take acknowledgmonts is not ossontiallo Iho validity of Certificato of Releaso 01
Fedoral Tax lion Rev. Rul. 71.466. 1971 .2 C.B. 4091
p.n I . RECORDING OFFICE
Form 668 (Z) IRoy. 10-2000)
CAT. NO 600261
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