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Fonn 66B (V) 83(.:\ Deperlmenl ollhe Tre8lury . Inlernel Revenue Service
("tV, October 1993) Notice of Federal Tax Lien
District Serial Number For Optional Use by Record/nil 0lllc8
Phi ladelphia. PA 2:39518326 f\l \j . <)(.1\ - If.3J
1=TL
As provided by sections 6321, 6322, and 6323 of the Internel Revenue
Code, we are giving a notice that taxes (Including Interest end penalties)
hive been asselled against the followlng.named taxpayer. We have made (") ,,, 0
I demand for payment of this liability, but It remains unpaid. Therefore, c (;\ -n
there Is a lien In favor of the United Stetes on ell property end rights to ....... .
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property belonging to this texpayer for the amount of these taxea, and !-i:i.. , ~ ,;lpJ
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Iddltlonal penaltlea, Interest, and costs that may accrue, ;;"1. - ....., :iJ~
(J;'4. ,,..
Name of Taxpayer SAMUEL G S. CAROLYN S SUNDY .:J
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Residence 129 N MARKET STREET ;':'~ -.:1
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MECHANICSJ3URG. PA 170e-,5 . -I =<.
IMPORTANT RELEASE INFORMATION: For each assessment listed below, 11').w I'd
unless notice of lien is reflled by the date given in column (e), this notice shall,
on the day following such date, operate as a certificate of release as defined Cu.tl liS 1;:1 1
In IRC 6325 a). R,,- ?,Lj ::IlL.
Tax Period Date of Last Day for Unpaid Balance
KInd of Tax Ended Identifying Number Assessment Reflllng of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/90 194-42-9091 08/07/96 09/06/06 290.33
1040 12/31/91 194-42-9091 06/26/96 07/26/06 966.61
,
..
. Place of Filing
Prothonotary Total $
Cumberland County 1196.94
Car II s I e. PA 17013
f
. this notice was prepared and signed at Ph i I ade I ph i a I PA
r'" - -..-:-'.,...., .......l""!;nrWT'!\'....""'\}r"... \..
I~e 20th day of December ,19 ~.
. on this,
Title
Manager
23-01-0000
ACS
(NOTE: Corlillcate 01 ofllcer authorized by law 10 take acknowlodgmenls is not essonliallo the validity of Notice of Federal Tax lien
Rev. Rul 71,466. 1971 ,2 C.B. 409) Form 66B (V) (Rev. 10.93)
PBrt 1 . Kept By Recording Office
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Form 668 (z19~'
(Rov. ~-e4)
Olslrlel
Deparlmanl ollha Treaaury. Inlarnal Ravenue Sarvlee
Certificate of Release of Federal Tax Lien
Soria I Number
For U.. by Recording Oll'cI
PFl'jl'j:~YL\lAN I A
239518326
I certlly lhal aa 10 the fOllowlng.nems lexpayer. Ihe requlremanls of eecllon 8325 (a)
ollhe Inlernel Ravenua Code have been sallelled for the lexes IIsled below and for
all statu lory addlllons. Thereforo, Ihe lien provided by Code seellon 8321 for Ihese
laxes and additions has been releaNd. The proper oHlcer II), \.ha oHlee where Ihe
no~~ ollnlernal ravanua18x lien wes flied on JaYlua,"( "to
19'--..0 Is In aUlhorlzed 10 nole the books to show Ihe release of this lien for
Iheso taxos and addlllons
Name of Taxpeyor SA~lUEL 6 & CAROL VN S SUNOY
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Residence 129 N I1ARf<:ET STREET
"lECH,~NICSe.UR(', PA 17055
Kind of Tax
(0)
Tax Period
Ended
(b)
1l5,OO pel
Set-i",l NIJ. Cu.t1I.~3Iq9
NO. 96-432FTL RIl 41:>5:1
Dale 01 Lasl Day for Unpaid Balance
Assessment Reflllng of Assessmenl
~ 00 ffl
Idcnlifylng Number
(e)
_.-.. - -~---
1040
1040
****-A*****
12/31/90
12/31/91
*********
194-42-9091
194-42-9091
**************
08/07/95
06/26/95
*** *****.*
09/05/05
07;26/05
************
290.33
906.61
***************
Place of Filing
Pr,)thonctary
CumberlaYld County
Carl isle, PA 17013
Tolel
$
1196.94
This nolicb was prepared and signed at
PI ttsbu"gh. PA
,on this,
l8t.h ,
the day 0
Decprnber
96
.19_.
Signature
CHIEF. SPB
"'~
Tille
(NOTE: CCfMc.l1" cf office' iJuthorized by IJw 10 t.1-'8 JCllntMlec1gmems is nol essential fo the valicMy of CorMCiJieof Re,'viJso of Foderat Ta. lien Rev, Rul. 71"",66, '97r.2
c.e 409)
PAnT 1 . RECOnDINC OFFICE
Form 50S (Z) (Rev. 5-94)
CAT, NO 1lOO261
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