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Form 668 (V) (c)
(Rev. October 1993)
District
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Deportment 01 the Treasury. Inlornol Rovenuo Sorvlce
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Notice of Federal Tax Lien
Serial Number
Philad"l,"i", PA c':::',I',J14UI
As provided by sections 6321, 6322, and 6323 01 the Internal Revenue
Code, we are giving a notice that taxes (Including Interest and penalties)
have been assessed against the lollowlng-named taxpayer. We hava made
a demand for payment of this liability, but It remains unpaid. Therelore,
there 10 a lien In favor of the United Stetes on all property and rights to
property belonging to this taxpayer for tho amount 01 thase taxes, and
additional penalties, Interest, and costs that may accrue.
Name 01 Taxpayer Ilr- NN I~; M BAUERS
,Residence
:'~12 ,,"nDEn:-; IlR
MECHANICSDlIRG, f'A
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For Opl/on.' Un by Recording O/llce
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IMPORTANT RELEASE INFORMATION: For each assessmenlllsled below,
unless nollce of lien Is reliled by the date given In column (e). this notice shall.
on the day fOllowing such date, operate as a certificate of release as defined
In IRC 6325(0).
Tax Period
Ended
(b)
IIq,CC'pd
UctJ '8;)$'/5
~ It ;l.q;j,'iJ
Last Day lor Unpaid Balance
Rellllng 01 Assessment
(a) (f)
Kind olTax
(s)
Date 01
Assessment
(d)
Identifying Number
(c)
\(110
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146-38-3S\:1 'll/\(/~J4
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'Place 01 Filing
1"1 col;t....nolnry
Cn'nf.lIl'- I.lnd C (Iliff t",
C.\t'l i., II~' PA t '111\ .,(
This notlca was prepared and signed at H, I 1,,01 "./' I", r'A
19 ')F,
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Total $
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Port 1 . Kept By Rocordlng Olllce
lodgmoolll. 001....0110110 Ih. vallditv 01 Nolleo 01 Fad.,., Tax lI.n
Form 668 (V) (c) (Rev, 10/93)
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