HomeMy WebLinkAbout95-05394~5~ 53g~
Form 888 (y) (c)
(Rev. October 1883)
Department of the Treasury • Internal Revenue service
Notice of Federal Tax lien
District Serial Number For opnomt u,e ey Nscoramp omce
As provided by tecUona 8321, 8322, and 8323 of the Internal Revenue 11 r f ~~ ~ ~ '~ I ~ rrL
Code, we ere ylving a notice that taxes (Including interest end peneltles)
have been assessed apelnet the fotlawing•named!axpayer. We have made
~ demand for payment of this liability, but It remains unpaid. Therefore,
then la a Ilan In favor of the United States on all property end rights to ~ ;'
~ property belonping to this taxpayer for the amount of these taxes, and ~'
additional penaitlee, Intern!, and costa that may accrue.
Name of Taxpayer Y
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!Residence
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IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice of lien la rattled by the date given In column (e), Ihls notice shall, ac1•~x~(x!
on the day following such date, operate as a certilicale of release as defined f; 3l Jl
In IRC 8326 a . c~~ 11
1i a ~c.n
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Endsd Identlfying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (p
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This notice was prepared and signed al
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on this,
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Signature Tula ,
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IN 7EI Cnllll W o of Ihotltao by low to take ecknawleupmenU Ir not aefoNlel to Il,e vaudlly of Nolla of Fedeul TeK Ibn t
RW. Rul. 71.188 fg71 • 2 C.tl. 10ai
Part 1 • Kepl Dy Recording Olllco Form 888 (V) (o) (Rev. 10/83) ti
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COURT RECORDING DATA
INTERNAL REVENUE SERVICE Lien Recorded 10/11/1995 - 10:39AM
FACSIMILE FEDERAL TAX LIEN DOCUMENT Recording Number: 95-5394ft11/
UCC Number __
Liber
BANKRUPTCY DOCKET: 1 Page
District: PENNSYLVANIA ~ IRS Serial Number: 239512890
This Lien Has Been Filed in Accordance with
Internal Revenue Regulation 301.6323{f)-1.
Name of Taxpayer
DENNIS L RODRIGUBZ
Residence
3400 TRINDLB RD STE 101
CAMP HILL, PA 17011-4435
-------
With ----------------------------------------
respect to each assessment below, unless ---------------------------------
notice of lien
'
is refiled by the date in column(e), thi,_y t shall constitute
the~ er~ificate of release of lien as def
ne in IR 3Z~5T~T"'~-
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Form Period
I
I ID Number Assessed Refile Deadline Unpaid Balance
(a) {b) (c) I (d) ( (e) I tf}
1040 12/31/1988 210-40-2546 04/11/1994 05/11/2004 789.13
1040 12/31/1990 210-40-2546 12/20/1993 01/19/2004 962.65 .
1040 12/31/1991 210-40-2546 01/09/1995 02/08/2005 ~C 8895.48
1040 12/31/1992 210-40-2546 01/09/1995 02/08/2005 9202.66
------------------------
Filed at: Prothonotary
Cumberland County Total I $ 19849.92
Carlisle, PA 17013
This notice was prepared and executed at PITTSBURGH, PA
on this, the 47th day of September, 1995.
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Authorizin~ Official: Title:
Patricia Betlejewski- ACS I MANAGBR 23-01-0000
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