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=orm 668 (Y) n .-.;r~ Depertment 01 the Treesury . Internel Revenue Service
Rov. Oclober 1993) Notice of Federal Tax Lien
Jistrict Serial Number For Optional Usa by Recording Ollica
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As provided by sections' 6321, 6322, and 6323 01 the 'friiernaf Revenue FTL
Code, we are giving a notice that taxes (Including Interest and panaltles)
have baen assessed against the lollowlng.named taxpayer. We have made
a demand for payment of this lIabltlty, but It remains unpaid. Therelore, .' =
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there Is a lien In lavor of the United States on all property and rights to " ""
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property belonging to this taxpayer lor the amount 01 these taxes, and '. ,. '"
additional penalties, Intarest, and costs that may accrua. ,
Name 01 Taxpayer ... . , .~ S
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BEVERLY POFFGJbERi.;LR . ~ .-'" (.) 7.' <"
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Residence ~.::' -
ALL ENV I El. Df,:lVl: - ~
,jf34
I~ECHAN I CSBURG. F'b 1 7nl~.C:,-~:. 1 t. 7
IMPORTANT RELEASE INFORMATION: For each assessment listed below, nq.co(X'
unless notice of lien Is reflled by the date given in column (e), this notice shall, Cv..~1 ?'1S''f 'J.
on the day I~:~wlng such date. operate as a certificate of release as defined
In IRC 6325(a . ~I\ J'?>5.n
Tax Period Date 01 Last Day lor Unpaid Balance
Kind 01 Tax Ended Identifying Number Assessment Rellllng of Allessment
(a) (b) (c) (d) (e) (f)
)
t3f372 12/31/91 171 .- 3!}-6 '7 I '5 12/14/92 01/13/03 96035.91
,
Place of Filing
P,-.. thQno tar', Total $
Cumb~ r I and Loun t~, 96035.91
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This notice was prepared and signed at
, on this.
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the
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Signature
k"'V"'I\U~ llfrl<.~r-
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(NOTE: Cortilicalo 01 olllcer authorlzud by law 10 lake acknowludgmunls IS nol 'lssunlltlllo the validity 01 Nolice 01 Fedoral Tax lien
Rov, Ru!. 71,466. 1971 .2 C,B. 409)
Part 1 . Kept By Recording Olllce
Form 668 (Y) (Rov. 10-93)
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2917
Department of the Treasurv - Internal Revenue Service
Certificate of Release of Federal Tax Lien
Form 668 (Z)
IRlIv. 1().20001
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #3
Lien Unit Phone: (412) 395-5265 239502077
I certify that tha lollowlng-namad taxpayer, under the requiremants of section 6326 lal
of the Internal Ravenue Code has satisfied the taxas listad below and all statutory
additions. Tharefore, the lien provided by Code section 6321 lor these taxes and
additions has been released, The proper officer in the of/Ice where the notice of
Internal revenue tax lien was filad on March 22
1995 ,Is authorized to note the books to show the release of this lien lor
these taxes and additions.
Name of Taxpayer
BEVERLY POFFENBERGER
For Usa b Recordln Of/Ice
Rt. P.l-II' S./x-
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I!H..' 1:1 11[:)
Kind of Tax
(a)
6672
*******
COURT
Page UCC No.
n/a n/a
TlIx Period
Endln,
(b)
12/31/1991
**********
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Resldence464 ALLENVIEW DRIVE
MECHANICSBURG, PA 17055-6167
RECORDING INFORMATION:
Serial No.
95-1475-FTL
Liber
n/a
Idendfyln, Number
(e)
171-30-6715
*************
DlIte of
Assessment
(d)
12/14/1992
**********
wt D1IY for
ReOlln,
(a)
01/13/2003
************
UnlJllld BlIllInce
of Assessment
(f)
96035.91
****************
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $
96035.91
This notice was prepared and signed at
PITTSBURGH, PA
,on this,
the
19th day of June
2002
Title Compliance Technical Support
Manager
(NOTE: Certificate of oUicer authorized by law to tuk6 acknowlodgmonts is not oS5ontialto tho validity 01 Certilicalo 01 Reloaso of
Fodor.1 T..lion novo Rul. 71.466. 1971 .2 C.B. 4091
Pon I . RECOROING OFFICE
Form 668 (Z) IRov. 10.20001
CAT. NO 600261
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