HomeMy WebLinkAbout95-06921
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380
Form IIa (V) D.p.rtm.nl of Ih. rr..lurv . Int.rnal Rev.nu. Servlc.
(Alv. O~lob.r llJU3) Notice of Federal Tax Lien
, For O"IIon"' U.. by R.cordlng Ollie.
, Olllrlcl Sorial Number
Phlladt!lphl'" FA .~. _~19'5169;'::,t) I//J/
, (lj 't'n
AI provided by ..cllonl 6321, 6322, Ind 6323 01 Ih. Inl.mll R.venuI
I Cod., we Ire giving I nollco Ihllllx.. (lnoludlng Inl.roll and p.nalll..)
hlv, bHn .......d Igllnlt Ihl lollowlng.nlm.d laxply.r. W. hlv, mlde ~J '1"1 ~
I I d.mlnd lor Plym.nt ot thll IIlblllly, but II rlmllnl unpaid. Th.r.lorl, ... (JI
I there II I IIln In I.vor 01 Ihl Unlled Slatll on III prop.rty Ind rlghtl to ~., ~~ "," ~I
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property belonging to Ihll taxply.r lor the Imounl 01 thlsl laxll, Ind "
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: Iddltlonll penllll.., Intlr..t, Ind cOlli thlt mlY Iccru.. ' , lJl
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i Namo of Taxpayer ~"~ , ~" .'
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~~- ~ 13 :11:
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I Residence f" '" I ^,~P\'.,rUI<h.1 "V I::. :Cl .r.-
CARLISLE. PA 1701 'j-l \"2:3 ..... Ul ~
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I IMPORTANT RELEASE INFORMATION: For eaetl a55e5~ment listed below,
unless notice of lien 15 reflled by the date given In column (e), this notice shall. (\( /1.)(1(',1
on Ihe day lollowlng such dale. operate as a certificate of release as defined
In IRC 6325 aI, t\ 1.Ju'J',-,'
Tlx P.rlod Dateo' Lasl Day lor Unpeld Slllnc.
I Kind 01 Tlx End.d Idenllfylng Number ASleslment Rellllng 01 A.....m.nt
I (a) (b) (e) (d) (e) (/)
I 1040 12/311'"'0 42~?:-';'4 -',;11 ~A 10/2t5/,?13 11/.:4/0::< .~2::~. 42:
I 1040 12/31/93 4::~2 -94 '-'?l12~4 (16/06/94 (11/06/04 2~~5Z . :38
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Place 01 FIling F't"othon;otat"y
Curobet. I and County Totll . 6~lO. 80
Ca,'I,,, Ie, F'A l'rO 103
Phi ladelphla, PA
. on Ihls.
Thll notice was prepared and signed at
:3t.~ I)ct.jDPt" '~I~-)
~h8 "'a'iv-ol" '~ J... ~ 1'~: :''19 _ "
Slgnatur~ .. n '
~tJ ~''ll !J..ty."Jr'Y' - ACS
I-~~ ..A...t~".'A I'
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(NOTI: Certificate 01 olflcor aulhorlzed by law 10 lake acknowlodgll1enl!i IS nQI1:I51lan\lill 10 thu vl1lidilV 01 NoW:. of Federal Tax lien
Rev, Ru!. 71.4U. 1971 .2 c.e, 409)
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Pari 1 . Kept By Recordln!] Olflce
Form 668 (V) (Rev. 10-93)
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