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Form 668 (Z) 3110 Deplr1menl ollhe Trl..ury . Inlernel RevenuI Slrvlcl
(Ao.... ~.O..l Certificate of Release of Federal Tax Lien
Dlllrlct Slrlll Number For U.. by A.cordlng Olllel
P€HlnfivlviHlia 239S14736
I certlly .hat 8S 10 Ihl lollowlng.neml IlxpeYlr, .hl requlremenll 01 .ecllon 8325 (I)
ollhe Internll Rlvlnul Codl hIve bien .11I.llld lor thl l.xOl 1I.I.d below Ind lor
011 elllulory oddlllon.. Th.relore, Ihl lien provldld by Codl .ecllon 8321 lor th... r" I...L'
Ilxes Ind Iddltlons hIs b..n relslnd. Th. proper olllcer In Ih. olllc. whero th. , 0' '~
nollce ollnlernel rev.nu'l.. lI.n wI.m.d on Dc tobet' 31 ""
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19 ~ Is In lulhorlzed 10 nolo Ihe books 10 show Ihl rei.... ollhl. lI.n lor .,
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Iheso taxIS and addlUons ~,- '-
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Nome 01 ToxpoyorJOHN -< ';
B & NANCY M DYMOND r:::\ ,~ 1
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Residence 104 LOGAN LN ::' ::;I 51!
SHIPPENSBURG, PA 17257-9266 e.... ~
COURT RECORDING INFORMATION: 1I5,CQ(ld
Liber Page UCC No. Set"ial No. Cl(tl \';;lQ 111.#
nla nla nla 95-6264ftl '~~ "l3';l3tb
Tax Period Date 01 Losl Day lor Unpaid alllnce
Kind 01 Tlx Ended Idenllfylng Number Assessment Rellllng 01 Asnllm.nl
(a) (b) (c) (d) (e) (I)
1040 12/31/93 168-26-3169 04/24/95 05/24/0F. 14457.35
Idddd,..'. ********* **********.*** ********** .****It.It***** ****************
Place 01 FIling
Prothonotary Tolal S
Curllberl and Coun,ty 14457.35
Car'l isl e, PA 17013
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This nollct. Wtl5 prepared and signed at
Pi ttsbut'\lh, PA
, on Ihls,
27th August
Ihe day 01
96
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IUOTE; CflftI"C4I'1I 01 o"/Cfr 'lIJIhorizG'd by IflW to Wo .1cJi~'<<JQmfPnrJ is no, BIUntl.' to,~ valdlly 01 Cf1r""c~t. 01 R.,..,. 01 F<<Hr.1 r....liln R.v. RuI. 7'-4", re7r-2
eLl 409)
PART 1 . RECORDING OFFICE Fonnlll(Z)(RIY.H-4)
CAT. NO eoG2ll
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Notice of Federal Tax Lien
Depertment of the Tr..eury . Internl' IIlvlnue Servloe
~orm 888(YI(01 ' , ,
'tRev, oclober 1993)
Olslrlcl
Serial Number
'".t,' .\:' -."
Ae provided by ..otlon. 8321. 8322, and 8323 of the Internal Revenue
Code, we are giving I notice thlt talC.. (Including Interllt and penaltlll)
have been .......d Iglln.t the tollowlng.named talCpayer. We have made
I demand tor payment at thl. lIabl\lty. but It remain' unpaid. Theretore,
there I. I lien In tlvor at thl United Statll on all property and right. to
\ property belonging to thl. talCplyer tor the amount of thlle talC", and
t Iddltlonal pen.ltllI. Interllt. Ind co.t. th.t may accrue.
\Name at TalCpayer J,'Hi'l t: " 1,i'll( . 1'1 i. /I'I.:.'IH,'
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IResldence
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Far optlona' U.. "y RecordIng 07/fCI
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IMPORTANT RELEASE INFORMATION: For each assessmenlllsled beloW,
unlesS nollce ot lien Is rellled by the dale given In column (el, this nollce shall,
on the day lollowlng such date, operate as a certlflcale 01 release as defined
In IRC 6325(al.
Tax period
Ended
(b)
ilqCO~
<.,~"\ 111'1."9
Itll '313'11
Lalit Day tor Unpaid B.,.nc.
Reflllng at A.....m.nt
(e) (f)
Identifying Number
(e) ,
Date 01
Assessment
(d)
Kind 01 TllC
(s)
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This nollce was prepared and signed at
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~he . f\day'Of~'-ot"-~' ',1 9 ~ "
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Totel $
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IHon' c"lIl1e.l. 01 otlle" .uthorlnd by I'W 10 Ilk. .eknowl.dgm.nlll. not ....nll.IIO Ih. v.lldlty 01 Hollc, 01 F.d".1 Tax lI.n
R.., Rul, 71.488. 1071 .2 C.B. 409)
',' .',. ,Part 1- Kept By Recording Oltlce Form 688 (Y)lcl (Rev. ,0193)
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