HomeMy WebLinkAbout95-06916
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form 668 (V) '3130 Oeplrtnlent or the Treeeury . Internel R.venue S.rvlce
(R.y, Oclob,r 19031 Notice of Federal Tax Lien
OI.lrlcl Serial Number ..!..~r OplfOI"" u.. by Recording O/llCl
Phi I~delphi'l. PA .;')~5 t ,;.n::~lt) q~) , (,' '1/ (t' rlL
AI provld.d by ..cllon. 8321, 8322, and 8323 of the Internal Revenue
Cod., w. .,1 giving . noUc. Ihat tax.. (Including Intere.1 and panaIU..)
hlVI b"n .......d ag.ln.t thl followlng.nlm.d taxp.y". w. have m.d. () "'I
. d.m.nd lor p.ymlnt of thl. lI.blllty, but It remain. unplld. Th"elore, G CJI ~
th.r. I. . IIln In lavor of the Unlt.d SI.t08 on all properly and rlghl. to f~j ,~":) ~I
prop.rty b.longlng to thl. taxp.y" lor the .mount 01 th..e taxll, Ind i33t' , ,'1
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Iddlllon.1 pln.IU.., Inter..I, .nd co.t. that mOlY accrua. :'~' t I :~
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Name of Taxpayer THOMAS MARY 8FA I'LF'NFR r~.~ f:) ""
8~8 :.;:
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Residence ~ ..
4420 GETrYSBUR(, rm AFT ~ ::;! w
CAMP HILL. PA 17n 11"".1 i. N
IMPORTANT RELEASE INFORMATION: For each assessment listed below, f) 16..
unless notice of lien Is refiled by the dale given in column (e). this notice shall. a /18[.1)4
on the day following such date. operate as a certillcate 01 release as dellned I!..
In IRC 6325Ia). Ill_t.1
Tax Period Date of Last Day tor Unplld Bal.nc.
Kind 01 T.x Ended IdenUlylng Number A.sessmenl Rellllng 01 A.....m.nt
(a) (b) (e) (d) (e) (I)
1040 12131/9" .2 (I f:. .- :3l~: .., '~j:~99 ~)~, / 1 ~.:' / ':/f~l u(/14/(I'7.1 U714 . 16
1(140 12/31/93 20'S - :3:~~ -9:;-~')'~) )[:,I:c3/"i4 1)(,;' ."7..2/ l)4 14")/.413
Place of Filing
Pr tJ t h I) n I~I t at~ y Total S
Curnber' I and C(Junty 10411 .64
CU' I' q Ie. FA 1701:':
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This notice was prepared and signed at f" h I I "d fl I p I, I ,1' FA
. on this.
~' . """lIfilI'I'lI"Pt~......~tr1I'''' ",' "
\the09th day of *"ell,t..r .19~~
81 na~~' . /~ 9v
g _ .//.Jf..l,.~ (.......' .
flit" ra. .t( I ..~.. [let I fJ..J~wsk I. A(.::~
Tille
Mana'jp.t
;;',;;-(It ..1)000
(NOTE: CarhllcII18 01 otllcer aUlhorllad by L1W III tak.u ar.:k.nowlodql1wnlr, I~I fll)! w;'ll)rllil!to 1I1tJ Vlllidlty of Nolicu 01 Federal Tax lien
Aev, Au!. 71.466,1971, 2 C,B 409)
Pari 1 . Kept By Rer.ordlno Oltlce
Form 668 (V) (Rev. 10.93)
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