HomeMy WebLinkAbout95-03228
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DOl\o.\d A.Grit.~ SQ.
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Form 668 (V) :f;(l Dop.rltnenl ollho TrooBury . Inlornol Rovonuo Sorvleo
tAn o(.tOUtlf IUj))) Notice of Federal Tax Lien
District Son,ll NUI11IHJI ' II' Lljl/lllfl,1f Use' b)' 1I0C01dtnq OOlce
f-'hlladr~lldll,lt I"A ,_ ; ''-11''-,( ~1 r I, ~ l -:1\ ( it) ' .
A. provided by secllons 6321, 6322, and 6323 01 the Internal Revenue ~:);), ff
Code, we ara giving 0 nollce 1hat laxes (Including Interest ond ponoltlea) r-TL
h.ve been euesled egelnstthe lollowlng.nemed loxpeyer. Wo heve mede
. dem.nd lor paymenl or Ihls lIeblllty, bul It remelns unpeld. Therelore, 1..1 e-
therl I. a lien In levor 01 Ihe Unltad Stetes on 011 properly and rlghl. to ' .
property belonging 10 Ihls laxpayer lor Iho omounl 01 lhasa laxes, and , -
U1
.ddlllonal penallles, Interest, end cosls Ihsl may accrue.
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Name of Taxpayer -
1)I'NAI.lJ A (;r\'l[S ::ll\ J::l
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, Residence . '. !!2
~-'45 lJlJF;l 1 N GAP hI) ~
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NEWVILLE. PII 1 'f.,., 1-"'782
IMPORTANT RELEASE INFORMATION: For eaell ossessl11entlisled below, 1;7".'\.,J
, unless notice of lien is rofiled by the dale given In column (e), this notice shall,
, on the day lollowing such dale, operate as a certificate of release as do lined , '-' L ,':, ::'1'1 "If )\J(. J',5
In IRC 6325 a!.
! Tax Period Dele 01 Lasl Day lor Unp.ld a.l.ncI
i Kind 01 Tax Ended Idenlllylng Number Auessmenl Rellllng 01 A.....m.nl
(a) (b) (e) (d) (e) (I)
,
1040 1':'/31 r~o lE:I -42.-8~,07 "",II': 1';'4 10/1'::/0,1 ':"165.67
1040 12131/9': 181"42 -13507 u':/14/94 0;;/16/0.1 957.29
'Place 01 FIling
i PI., tlwnot at.y Tolal S
Cumbor'l and County 1012.2.96
Car' II s 101 PI\ 17l) 1 "
This notice was prepared and signnd 01 Ph I I .ol.. I ~,h I a, PA
. on Ihls,
the 1 t" t to da~,ol/ M a y
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PAIl 1 . I<rpl fly IlccorcHn{l Ofllen
Forlll 668 (V) (Rov. 10'93)
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