HomeMy WebLinkAbout95-05035
5'. 035
. '
Y' Form 668 ;Z) -r-
~~~~__,._J__
Olslrlcl
Oeportmenl 01 the Treesury . Internal Revenue Service
Certificate of Release of Federal Tax Lien
Se,lal Number
For Un by RICordlng Olllel
".t, .
I cerllly th.t 05 10 IhQ fOllowlno.nan1e taxpayer, Ihe requlremonts 01 soctlon 6325 (a)
01 thQ Inlernal Revenue Codo have been satisfied 'or Ihe laxes listed below Bnd lor
all stalutory additions. 1 horelore, the lion provided by Code section 6321 lor these
laxes and aodJ\lona has been relensed. The proper orrlcor In Ihl/, Illflce w~ere the
notlOlt ~f Intnrnal revenuBtox lien wBsllled on __~____
19 __ _' 15 In Bulhorlzed to note !ho books to show Iho release 01 this lien lor
Ihese lnxes and additions
!lame 01 TaxpByof" Ihl,l! H',
j'u\LI.'':;': i
Residence
.: 1::' I I,,"!
Hf'lill l': 1.1'
'l(.l'i If
115,(;01'("1
,I.;, i'.i 1 h,iJ
""J ,l
r.ii,"
:):,
1 I ,..~,
ell .1'J~:;-37
I,' -I
:';.' 1
. ,
r:..i_ :t'
3'i'lo.)"\
Unpaid BBIBnce
01 Assessment
(f)
KIII<1 of Ta.
in)
Tax Period
Ended
(b)
Idefltilying Number
(:)
0011'01
Assessment
(d)
Last Day lor
ReWlng
(0)
:1....1}
l.
i
i,-
. .. ... ..... . """.... .. ( " . ~... ....." -.. .: . "
......1..-........10 .............:....... ..~....<t.
~ . ~ C It ..
-__.._.__ ___-1.._ _ h,
rlace o! 1IIIlIg
----- ---_.~---
.,
Tolal $
, on thiS.
"\'
," -......
. .
y 0 ______._,
-\.
p: '
Sj!t";", , 'L..' . J' r:,. /
f,r'''~~., ~r,~r ,~,._r~./A... ,
--..--
-[~
L r ~'. ' : I
(; /- ~
"~I,
'..'. .., I.'
. .",
,,"/'.' II"., ".. (II ,~~," 1,H btlII Hell Rut 114M. 19,", 2
PAUT I UITl'I1!'1N(; OHh:t
Depertment 01 the Treasury. Internal Revenue Service
orm 668 (V) (c) - : ' -~ ! . I
lev OclulltJr 1993) Notice of Federal Tax Lien
llstrict Serial Number Fa, Optional Usa by R.cordlng Ollie.
,'... , ,,' <. , ',', , '. "'I>. 1'1'_; t1 (f') - '('l ..., c:
As provided by sections 6321, 6322, and 6323 of the Internal Revenue ) --J )
Code, we are giving a notice that taxes (Including Interest and penalties) F'TL
have been assessed against the followlng.named taxpayer. We have made
I demand for plyment of this liability, but It remains unpaid. Therefore,
there Is I lien In favor of the United States on all property and rights to
property belonging to this taxpayer for the amount of these taxes, and
, Iddltlonal penalties, Interest, and costs that may accrue.
lame 01 Taxpayer V>
NALr<AND I At. m
DOROTHY A ....
'"
-
lesldence ,:"-::F=; FLlNTLOO: RIDGE F",[J
'-''--' "
MECHANICSBURG. FA 17iY-,j::.',-.l'- 1 ' ~,
'"
IMPORTANT RELEASE INFORMATION: For each assessment listed below, =..-'
unless notice 01 lien is reliled by the date given in column (e). this notice shall, .' -
" CD Il. t' ~'I'i" I
on the day 101l0wing such date, operate as a certificate of release as defined c.n
in IRC 6325(a). 11 C; L''::; Y<-' C.~d~ ,; ".J~'7
Tax Period Date of Last Day for Unpaid Balancl
Kind of Tax Ended Identifying Number Assessment Refillng of Assessment
(a) (b) (e) (d) (e) (f)
1(.141.1 1.21 :; 1 / .:-,:: ~Il (,- '~i>-7:~:':,~ ":"1 1\' - . (q ~ :....:.. "~4 , :~;'_'
'-'4 I'
lace 01 Filing
t'l ,_,th(,rl(tcll '. Totll S
(umber I an1j ( (\ \1f1 t '. ..::;:..:.r:A.::.
(a.t I I ~ I ~, FA 1 r '~ll "
his notice was prepared and signed at f', '..., I [", ~. . A
, on this,
Ie .:.-",jdayoI4'Hu>'
, 1 9 ----25 .
~na~re T~e
1'91:tn il'jt?f
I) l - )1)('1.1
.wt t~ftt~~~ fl~J~\1 e.~,~,,^ ,I 1
(NOTE: C,rUfleate 01 offlClr authorlud by law 10 tak, Ickno'tlledgmlntl is nOl ....ntl.t to thl 'V.lidity of Notice of Fed"al Ta.llen
Aov, AU'A,.cee, 1911 .2 C S, 409)
?,/, ~:.. 9'f.rt 1 . Kept By Recording Olflce Form 688 (V) lc) (Rell, 10/93)
,....
...
,..
.
.