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TH 1 S NOT IrE cnRf<EC TO:; lIR I (', I NAI N"l 1 (r . "" '1".1 \ >', F I I CD "N ,,':./1 I / .:",
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Oeplrlm.nl 01 th. Trea.ury . Inl.rnll R.v.nu. Servlcl
Notice of Fed8ral Tax lien
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Serial Number
For Op/fona' Uu by R.cordlng Ollie.
Philadelphia ., ,"'f:,I",<~:
AI provldld by IIcllonl 8321, 11322, Ind 6323 01 Ihl Inlern.1 Rev.nue
'I Codl, WI Irt giving I nollcl th.t I.... (Including Inlereet .nd pen.llIlI)
: h.vI b"n .....ted .g'ln.t Ih.lollowlng.n.med laxp.y.r, W. hive m.de
. dlm.nd lor p.ymenl ollhle lI.blllly, bul II remeln. unpeld, Therelore,
1 therl II I IIln In I.vor 01 Ihe Un lIed Slel.. on ell property .nd rlghl' 10
" property b.longlng 10 Ihl. laxp.yer tor I~,e Imollnl 01 Ih..e laxel, end
.ddlllon.1 pen.IIIII, Inlerlll, .nd Call. Ih.1 mlY Iccrue.
N.me at TaxpayerDENJAMIN S DLAN~'
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Residence
833 WYNNEW(~D DR
CAMP HILL. PA 17<'11 1
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(' 12 II SDl-3
on.~! ~~y following such date. operate as a certificate of r\llease as defined ')
In 11......3 '.T... flRI"""^' f\ATF IN enl 'a)'" 1\
Tax Period Dale 01 Lasl Day lor
Ended Identllylng Number Assessment Rellllng
(b) (c) (d) (0)
IMPORTANT RELEASE INFORMATION: For each assessmonlllstod below.
unless notice of lien Is rellled by the date given In column (e), this notice shall.
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Unpeld Blllne;-
01 As..I.m.nl
(()
Kind 01 Tlx
(a)
6672 06/::'O/~~f
1)61'-34--1205 1~,/2~/:~9 )1/24/01:1
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Place of Filing F' r' 'J t h OJ n 0) t iit' Y
Cumbu>, I and County
Ca.t'I,~Ir;, FA 1"7013
OrigInal Recording Dat~l
Tolal $ 94961..88
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This notice was prepared and signed at
Phlladelphl~' PA.
. on this.
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lhorizod by li'W to laku ucknowllldOl!1\llll:; 1:\ nIJ!usr,onli,11 \0 1t..1 v.\lidlly 01 Notice 01 Federal TalC lien
, 2 C.B. 409)
Part 1 . Kepi By Recording Olllc.
Form 668 (V) (Rev. 10,93)
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