HomeMy WebLinkAbout95-01482
Form 668 (V) 8 :~i1", Department 01 the Traaaury . Internel Revenue Sarvlce
(R..... October 1993) Notice of Federal Tax Lien
District Serial Number For Optional Uss by Recording Oll/ce
~ iiq 5 ", l'i~d.
As provided by sections 6321. 6322, and 6323 of the Internal' Revenue FlL
Code, we are giving a notice that taxes (Including Interest and penalties)
have been assessed against the followlng-nsmed taxpayer. We have made
a demand for payment of this liability, but It remains unpaid. Therefore, ::-c::
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there Is a lien In favor of the United States on all property and rights to :0
, . ......
property belonging to this taxpayer for the amount of these taxes, end .. ......
additional penalties, Interest, and costs that may accrue. .
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Name of Taxpayer . =
JAMES ~1 ~lCCRI\RY .~ ~', ,:~ :~~ .J:
VI
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Residence ~~;; -
"j9 R P,U 111r~ LN c.o
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OJOLA. PA 1702::< ",,)1)00 119.(.'0 pc)
IMPORTANT RELEASE INFORMATION: For each assessment listed below, c.u \.\ ..,q'i?~J.
unless notice of lien Is reflled by the date given In column (e), this notice shall,
on the day lollowlng such date, operate as a certificate of release as delined PU ;).~5.jCI
In IRC 6325 aI,
Tax Period Date of Last Day lor Unpaid Balance
Kind of Tax Ended Identifying Number Assessment Reflllng of Assessment
(a) (b) (c) (d) (a) (f)
10-11) 12/31190 258. GB-..P::(..!~l ~ 1,; ('.1 , .~. ! .. ,. ':'bl ,'I) 1 63i_I.I,";:;
1040 12131/90 25rj ~'68-4;'Y):3 ','::~;' (:1'_1, '~'i . -' .,-' ,...., ; ~; Uj ~j6(J.G3
1040 12/31/92 258..t3rl,-.lb(.9 : :2/0r5/9-. , /(1,1 ,'/)':', .::8/1. '31
1040 12/31/93 2'5,:-3,- C.U-.4i:!<;'a 11, ::1 . t~; , .,1,. 0.1 '( '~62':-i. 'J I
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Place of Filing
Prothonotarv Total $
ClJfTlb~ r'j and I ""'llt" 1 ':' t ~:t :j . :)i:~;
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This notice was prepared and signed at
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, on this,
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the I: ll. day of
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.,to. ...,...."
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Signature
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~tJ roy.! r
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(NOTE: Cerhhcnto 01 officor authorizod by law 10 lake acknowlodgmonls 15 nol ussonliallo thu validity 01 Notico 01 Fodoral Ta. lien
Rev. Rut. 71.466. 1971.2 C.B. 409)
Part 1 . Kept By Recording Ofllce
Form 668 (V) (Rev. 10.93)