HomeMy WebLinkAbout95-04691
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Form 668(zf ' 119'1 Depsrtment 01 tho Trealury . Internal Rovonue Service
(RrI,B'071 Certificate of Release of Federal Tax Lien
District Soria I Number For UIO bv Rocordlng OHlco
0 Illl"lrll ,?~qa:-j)q,;F~ll
I certify thsl the lollowlng-nomod toxpoyor, under the requlremonts 01 socl/on 6325 (0)
01 tho Internal Rovenue Codo has lal/sllod tho laxes IIstod bolow and all statutory ('-J \., ("'\
additions. Thorelore. the lion provldod by Coda section 5321 lor tholo toxos and C) 'II
eddlllonl has been roleolod. The propor 011I cor In Iho ofllco whoro tho nol/co 01 ~-.:.; ,I
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Internsl revenuo lox lien woo lIIed on A'.Hl11~; t: 3J "" . . I,;,
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199!:;, 10 authorlzod to nota Iho books 10 show the releaso 01 Ihlo lien lor ' .. {".) ,"
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Ihelo taxes and oddlllono. " I,f,')
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Noma ')1 Taxpayer :;;
GEI'IE H 11< '.lYP.IAN '" OREE~I ~ 'j . .;.1
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Residence -' .~;- ",
BOX 32
WAI.HUT BOTTlJl'l. PA 17266-(11):32
1l .s. <..u I'd
COURT RECORDING INFORMATION: c.u.t\ '</~3.U
Liber Palle UCC No. Sorial I>IoJ.
n/a 0'1/1\ n/a 95-11,691 ft,l I~.ol lJ1lRq~
-, Dote of lalt Day lor Unpaid Balenee of
Kind 01 Tax Tax Period Ended Idenl/fylng Number
(II) (b) (c) Assesomenl Relll/ng Alleslmenl
(d) (II) (f)
" 1040 12/31/1992 252-64-82.,,2 03/"'7/1994 ')4/013 1 2')04 9053.96
1040 12/31/1993 252-64-8262 10/')3/1994 11/('212004 6991. 20
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Ploco 01 Filing
Pt-,) 1:t!'.InLl t:1t"'V Total $
CUIl,be,-1 t'lI,j COUt,tv 160,15.16
Cfi.."l i ~ 1 fl. I'll 170113
This notice wes prepared and signed at
" 1 i 1 ~ IIIIt""II. IJ fl,
. on this,
the
:?Oth day of toI""
19qa
Slgnaluro
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Tlllo
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(NOTE: C,'lJIlcjJfo 0' ClUjCer au/ltorlled b'l'alt'O 1.1~. ad.flo~I~i/m"'t.I' nol ,jJon'IJllo U'fl V.tI/dlly 0' CflrtlftC.'fI 01 Ufllo..e of f,dor,1 Ta.. hen R.v. RIJI. 71"'6~, '871-2 C.B. <l0Q)
PAnT 1 . RECORDlNe OffiCE
form IBB (Z) IRrI, 1-97)
CAT, NO 1OO2Bt
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, Deportmont 01 tho Treasury. Internel Revonuo ServIce
orm 668 (VI (e) <,'.'
'lev. October 1993) Notice of Federal Tax Lien
)Istrlcl Serial Number For Opt/onel Use by Recording O/llce
1',1., I"t" ",1" ,. ,,', I.,' _".,,' t1qS.. Y<C(( I
, As provided by sactlons 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (Including Interest and penallles) PTL
have been assessed agalnsllhe followlng.named taxpayer. We have made
, a demand for paymenl of this liability, but II remains unpaid. Therefore, ,.~..
, there Is a lien In favor of the United States on all property and rights to '. c
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! property belonging to this taxpayer for the amount of these taxes, and ,
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additIonal penalties, Interesl, and costs that may accrue. .. -
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,lame of Taxpayer f,l: NE "
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lesldence ~ .. '. ' 41, :r.,
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I~ALNUl [:(.1111)11, 1'1' t.j.....,..,,_...} CD
VI
IMPORTANT RELEASE INFORMATION: For each assessment listed below, /I''/.IL'pcl
unless notice 01 lien Is refiled by Ihe dale given In column (e). this notice shall.
on Ihe day lollowlng such date, operate es a certificate of release as defined <..ll " f{::J,';".~
In IRC 6325(a). IU ':j,/:llJ1
Tax Period Dale of Last Day for Unpaid Balance
Kind ofTax Ended Idenlllylng Number Assessment Rellllng of Assessment
(B) (b) (c) (d) (e) (f) .
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104(' t ...../ :: 1/';': .~: ~-~;, ....,.\ .;:-( . 1"lii_I::: '.' ~; ~ I " 11. .'1"1.1 ,_,'?'~'" 1 ., 1,1
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~Iace of Filing
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his nollce was prepared and signed at
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, on this,
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Ie i:' ~ I', day of 1 '1 I '
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ignaturo '._d'~---'~I' "T ,'.
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1 offlC.J .uLhollz. ~bl(!ll}l\. ,t'lftDk. acknowl.dgm.nt. I. not ....nli.llo Iha valldily 01 Nolic. 01 F.d.,.1 Tax il.n
2 C,O, 409 .z; ,.'/
c:..., 'PorI 1 . Kept By Recording Of rice Form 668 (V) (c) (Rev, 10/93)
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