HomeMy WebLinkAbout95-06925
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Form ssa (Y) 108 Depertment 01 the Tr..eury . Interne I Revenue Slrvlee
l~'" Oc,obor ,ggl) Notice of Federal Tax Lien
Oletrlct Sorlal Number Fa, Oplfo"al U.. by'Rseordlng Ol/les
Ph i I ~d.. I nh I ~. "'0 " "."F.l "':""11' qs l ~ (()C) FTL
AI provided by ..ctlon. 6321, 6322. Ind 6323 01 the Inlernll Revenue (') ,," ~
Code, we Ire giving I nollce thlt Ilxel (Including Inlere.1 Ind penllll..) (: WI
-nlli ,.., -I
hive b..n .......d Iglln.t the lollowlng.nlmed Ilxplyer. WI/J hIve midI r.dq~ .'-1 :JIIl
I demlnd for paymenl 01 Ihll lIabllllY, but It remllna unplld. Thereforl, ') :3~
':1. . 1
there II I lI.n In 'Ivor 01 the Un lIed Sllle. on III properly Ind rlghl. 10 ',l. ; (,I
property belonging to Ihl. tlxplYlr for the Imount of the Ie IIX", Ind ~-.. t, 0', B
addltlonll pen.III.., Inler..l, .nd COltl thll mlY eccrue. I ~ ; ,~ ~ . , 2"3
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Name 01 Taxpayer WILL I AM ,.,,(:.: 1''' 0'
T PHIl.L lPY IV '. .. ~
~ Ul
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Residence 211 SL.ATLO DR.
CARl JSLF'. PA 1701') flt 1ft))
IMPORTANT RELEASE INFORMATION: For each assessment listed below, a / I ~OO I
unless notice 01 lien Is rellled by the date given In column (e), Ihle notice slmll.
on Ihe day lO~\~Wlng such date. operate as a certificate of release as defined R 1:N1-t
In IRC 6325(a .
TIX Period Dale 01 Lasl Day lor Unplld Ballnc.
Kind 01 T.x ' Ended Idenlllylng Number Assessmenl Rellllng of A.....m.nt
(a) (b) (e) (d) (e) (I)
1040 12/3t194 175-413 -5'n.H )1:. / 1 ~'::./"~)5 07'/12/01" 17101.62
Place 01 FIling
F'rot~1 on.)t at'y Tolll S
Cumberland County 17101.62
Car I i ~ Ie, PA 1701"<
'ThiS nollce was prepared and signed at Ph i I ,,1~ I ph i,. PA
. on this.
[Ihe "<Oth~aaro;''WJ'liilI.''Itl' ,','19 9'~ ~
Slgnatur~ . . r 9/
f g~../.1'9"f". ,
Title
Revenue Officer
23-(11-1442
(NOTE: Certificate 01 olllcer aulhcrizod by law to laKo ,lcknowludgmerWi is not lJssunllal to the validity 01 Nollce at Fede/al Tax lien
Rav, Rut. 71,460. 1971 ,2 C.B 409)
Pari 1 . Kepi By Rccordlng Olllce
Form 668 (Y) (Rev. 10,93)
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