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Form 668 (V) Doparlmant 01 1M Troasury . Intornal Rovonua Sarvlce
tA.~. Oclobo, IO!)J) Notice of Federal Tax Lien
Olslrlct Sorial Numbor for Opt/on.ll USf} b) Recording OttiC8
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AI provided by sections 6321, 632?, and 6323 of the Internal Revenue ..1'"
Code, we are giving 0 notice that taxes (Including Intorost end penalties) FTL
hIve been anessad against tho lollowlng-named taxpayer. Wo hava mode
I demand lor payment 01 this liability, but It remains unpaid. Therelore,
there II a lien In lavor 01 the United States on all property and rlghtl to
prop.rty belonging to thll taxpayer lor tho amount 01 these texes, and
Iddltlonal penaltlel, Interest, and coats that may accrua.
c. .
Name of Taxpayer EDWARD J ., JOYCE t::IJR!EN 1 EWW 1 0'
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Residence :3810 COPPER l'ETrL.[ RD LoD
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CAMP HILL, PA t7011
IMPORTANT RELEASE INFORMATION: For each assessment listed below, fjq,oJ rJ~
unless notice 01 lien Is rellled by the dale glvan In column (e), this notica shall, ClA.I\ 901'55'
on tha day following such date, operale as a certificate of release as dellned
In IRC 6325 ~. R!I ;)IjPIS
Tax Period Data 01 Last Day lor Unpaid B,llnce
Kind 01 Tax Endad Identifying Number Assessment Rellllng 01 Allellment
(a) (b) (e) (d) (e) (()
1040 12/'J,1/0E 167-20-1)0;::0 UEi/15/f:', 1)f..~/14 /99 6l';}18.17
,
:Place 01 Filing PF(lth(lnotal~Y
Curnt1er' I alld C'.lunty Total $ 6l318. \ 7
(:al- Ii rj I H. PA \ -(01::'
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\ !:,: 18 1 tit) '::i 1 2.6
This notice was prepared and slgnod at I'" I I 1 ,In' pi",. J:'h
\
Ihe 1 9 ~ h day of ~h o-r h , 19 --5!!.'j.
, on this,
Signature
I Titlo
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INOTE: CtHllllC,lltJ 01 otliCtH aLlhofl~l!d lly 1,1'" 10 I.lk.l! ,ILk'llllW111illjl11t!l1t.; I'; not "'!~l!ntlal 10 till! vallddy 01 NollctJ 01 Fodoral Tall lion
Rov. Aul "..Hili. lfJ71 . ~ c n .ton!
Port 1 - Kept By Recording Ofllce
Form 668 (V) (Rev, 10.93)
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