HomeMy WebLinkAbout95-03217
~orm 668 (V)
IAIV OllolllH IVY))
District
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llopurtl1lcn' ur tho 1 fCOtHHV . Inlolnol flo'lonuo Servlco
Notice of Federal Tax Lien
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As provided bV secllons 6321, 6322, and (,J23 ul till' InlO/nol flevonue
Code, wo ore giving 0 nollce thottnxes (Including Inlorosl nnd punnllles)
have been ossossed ogelnsltho lollowlng.nomod toxpovor, Wo hovo Illodo
a demand for poyrnont 01 this 1I0b1l1lV, but II remains unpaid. lherololo,
there Is a lien In favor of tho Unllod Sloles on nil properlv nnd rights to
property belonging 10 this taxpavor for tho amount 01 these taxes, and
addlllonel penallles, Inlerosl, and costs thotmov oee,ue.
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Nama of Toxpaver l~lLL JAI'IS (,Id.lVI IN( , " (", I'''' uti ','"
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IMPORTANT RELEA::;E INFOHMA IIUN, For eilell i15505511lOIII Iislo,) below.
unless notice 01 lien is reWed bV Ihe dale givonll1 column (01, 111IS 1101leo shall.
on the day following such dale, operate as a eOtllliealu of roluasu as dulltlOd
In IRC 6325 a .
TIX Period
Ended
(b)
111 . I J 'j" j
Kind of TIX
(a)
Doto of
Assessmont
(d)
r . lI'r'Jd','fl ;'1\ ~)\,'Lt ~1
Last DaV for Unplld Blllne.
Roflllng of Assellm.nt
(e) (f)
Identlfvlng Number
(e)
'?41
l)9/~:O/'::-'4
':3-1'579"'~.,,-1
1~',/..:._I:,/<i4
1.ll/;=~)/I)'::,
'5'321)(1.45
Place of Filing
F'o."thQnota,'y
Cumb..r'l and C,)unty
Ca,-I isl!!. PA 17(11::
Totll $
5521)1).45
This nolice was preparod and signed at Fh I I a,jl! I L'h i a. F'A
, on this,
Ihe 1 "'lh day of May
119~,
Signature
Tille
Revenue Of' f I eel'
'::;'01-14X,
f (I ,. T e fry :-~ hut t;
INOTE: Cf:'f!dIr:il!P of 1;1'1(,1'1 ill,tt.Of1llilllJli J,I"II'1 '-1.".1 ",:;,il"LJ'-'I":'
Ile... flut 11 4lifl tHlI C' C II 4[1')1
"j' I '<,/ "Iii 1) 1t'I' \il1itlily 01 NOllco 01 FadtHat TOllien
Form 668 (V) Inev, 10.93)
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PO'I 1 . I<epl nV nocOIdlllD Office
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Form GliB (Z \
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Pl'I'l1l1IlWI11 pI I"" 111'<IftUfY. IlIlemol ncvllnuo SNvlco
t1ltv 'f >,I!
Gl!rtificiltC III Belcasc of Federal Tax Lien
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I cl~rWy III II n -, 10 tll(;. f(,'ltl",lllo"nlli"l,n Iuxpn~H, Ihc Irq~111l rtlOnh vi secllon 6325 (0)
ulll,e Inl,"'.' Hl'VI ",,,,Cl,tld hDVd be.n ..lIolted lor IhO 1"0' IIsled belDw and fDr
011 .,.luluIY .,ltiltlo"o. TII"'clolo. 111.. 1I0"llluvllIad by Codo "oLIIUI1 6321 lor Ih050
lox.. nnd .HJdlllo',o h.1'. h('on rolou'od, The plUpN olllrcr In IIlll Dflleo whero Iho
I " I I III t ,llld 1,
nOl.SV_" ,nlr:,hl1 Itl'V(IHlula.IC 1('llwo8 et on_ __ ---
19" ' ,IJ ir. oulllDlIlCd Iu nulu Ihe bDokslo 61,ow Iho ",I.. so Dllhla lion lor
Ihe~c lit,j\!J nntJ olMlIlufl"J
..,!,or Un by necordlng alii..
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Rollllng
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941
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1"'"llthon"tll'y
Cumb.rland County
Carll,I.. PA 1701 ~
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1~151.1)1). '\'5
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. ClUIl'" f') IA.v. 5 841
CA I NO 600201
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