HomeMy WebLinkAbout95-01552
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Form 668 (V) Department ollhe Treesury . Inlernal Revenue Service
(Alv. Ocloller '993) Notice of Federal Tax Lien
.Dlstrlct Serial Number For Oplionol Use by Recording Olllce
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As provided by sections 6321, 6322, end 6323 01 the Internal Revenue
Code, we are giving a notice that taxes (Including Interest and penalties)
have been essessed against the fOlloWing-named taxpayer. We have made
a demand for payment of this liability, but It remains unpaid. Therefore, =
thsre Is a lien In favor of the United States on all property and rights to ,-
property belonging to this taxpayer for the amount of these taxes, and 'u
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additional penalties, Intarest, and costs that may accrue, -
Nama of Taxpayer '" w
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, IMPORTANT RELEASE INFORMATION: For each assessment listed below, 1l q ,GO l0!
, unless notice of lien Is rellled by the date given In column (e), this notice shall,
, on the day following such dale, operate as a certificate 01 release as defined Q......~ "7q'~ l'it
,
, In IRe 6325 a). r..1l '-l~"'Y5
! Tex Parlod Dete of Last Day for Unpaid Balance
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, Kind olTax Endad Idantllylng Number Assessment Rellllng of Assessment
, (a) (b) (c) (d) (e) (f)
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'Place of FIling
Total $
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This notice was prepared and signed at
, on this,
the day,ol
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Signature i "
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n.,OTE: CUllllicnlo 01 alllcllf l'lulhOtlltHl by I.IW 10 Inku Hf:kfltlWIlHI!]lllunl!i H. tllll IlL5111l1lilllo lhu vahlJlly 01 NolIClJ 01 Fodoral TAll lion
Aov, AuL 7Hr,n, IU71 '2 <:11 0\001
Pori 1 - Kept Dy Recording Office
Fallll 668 (V) (Rev, 10,03)
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Form 668 (2)
(Ro" 6'9'1
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Deportment 01 tho Troasury . Intornol Rovonuo Sorvlco
Certificate of Release of Federal Tax Lien
District
Sorlol Numbor
For Use by R.cordlng Ollie.
Phi 1,\(lelphi,j,
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I cerllfy that as 10 Iho followlng.namo la.poyer, Iho requlremonts of socllon 6325 (0)
of Iho Inlornol Bovonuo Co do hovo been sellsflod lor Iho taxos IIstod bolow and for
ell statutory addlllons, Thoreloro, tho lien provided by Codo secllon 6321 lor theso
laxes and addlllons hos boon roleosod. Tho propor ofl,l~~\ 1[11'lhO,,~l'lco whoro Ihe
noll~'t,ollnlornal revonuo lox lion was lIIcd on
19 --' Is In oulhorlzod to noto tho books 10 show Iho roloase of Ihls lion for
th090 taxos ond addlllons
Namo 01 Taxpayol\HTHUI< J E: I CRCr-
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Rosldeneo 1 r03 OOUC,LI\:; DR I 'IE
ChRLISLE. PA 17013
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Kind 01 Tax
(D)
Tax Period
Ended
(b)
Idenllfylng Number
(e)
Datool
Assessment
(d)
,1\5 C'O\xl
1:.\.1- ~ \ 'J.50'.37
(I., II ,,8"';) I
Last Day for Unpold Balance
Rellllng 01 Assessmonl
(0) (f)
COURT Hr:.(:(Ir:DI~I(j [NFOht1AT [eli',I:
Libor PD30 UCC No.
n/a fila n/.1
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12/31/92 112-;~.1'95(11 (17/12/93
lZ/31/93 112-4.~p'?5(ll U(~/Ub/'~~\
..,.~. IHHt'll IH~ ~ t lot- i\Jt.-.;t. "". I( +..,.; r' '!"-li- tt .,..I":! )1:. Ii -j{ 'P-- W;-'~ "'f> j(
lI8Jl1/(I3 '1779.52
(t7/(ll~/(I~. 1t096.11
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1040
lCl40
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Ploco 01 FIling
Pr (I thufl(1 t, (U-'~/
C:t1rnl:~p.I' I ilnd CCollntv
CiH~1 i~;lp, PA 11(Jl~-;
Total
$
1 6:~75. c,":{
ThiS nullet! "',il[. prl~Jiart't1 and :;itJt1td ;11
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ItIOT!:: 1.I'lr"l'.III1~' elf" tl ,J(."i1)".'l'tl by I,!", 111 t.j~e ,II ;'11.)",,'!:IIlrl'n,s I~ lIoll'\51"'/,,11 1<11"1.' \I,II'il'/)I 0' e",Mil'.HI' 0' HIIII',I511 0' r,'4Jtll.ll TiI' II,'" nOli. nul. ".466. 'S",2
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