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Form 668(l)
(RovB.07)
Departmenl ollhe Traaeury . Inlernal Revenue Service
Certificate of Release of Federal Tax Lien
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For Uee Recordln Olllce
Serial Number
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I certify Ihallhelollowlng-namad taxpayer, under Ihe raqulremenle oleecllon 6325 (Il
ollhe Inlernll Revenue Code hll eatlllled Iha laxel IIlled below Ind III etalulory
addltlone, Therelore, Ihe lien provided by Code aecllon 6321 lor Ihe.1 IIXI. Ind
Iddlllon. has been relel.ld. Thl proper olllcer In Ihl olllcl wherl Ihe notlcl 01
Inllrn.1 rlvenul tax lien WI. lIIed on ' '.,", .
I '''', I. lulhorlzed 10 nolI Ihl book. 10 .how Ihe relea.e ollhl. lien lor
Ihl.lllxe. Ind Iddltlon..
Nama 01 Taxpayer
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1.111 Day lor Unpaid Balancl 01
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TIX Plrlod Endld Idlntlfylng Number
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Placl 01 Filing
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$
Total
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This notice was prepared and signed at
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I Tille
(NOTE: Cerlificale of officer aulhorized by law to take aclcnowfedQmentJ Is not ,"entlal to the validity 01 Certificate 01 ReIN'S 01 Federal Tax lien RtN. Rut. 71-468, '971.2 CS. 409)
Signature
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PART I - RECORDING OFFICE
Form HI (Z) (Rov. B'07)
CAT. NO 8002Bl
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Form 668 (Y) 380 D.p.rtm.nl ollh. Tr.llury . Inl.rn.1 R.v.nu. 8.rvlc.
(R.v. Octob,r 19931 Notice of Federal Tax Lien
District Serial Number Fo, Opl/ona' U.. by R.eo,dlng Ollie.
Phi ladelDhla. PA 239518137 1'\1.]. qu ~ L\~'i FTl
Aa provided by secllone 6321, 6322, and 6323 01 the Internal Revanua
Coda, wa are giving e nollce thet taxee (Including Interest and penallles)
have bean allalled agelnetthe following. named taxpayer. We have made n ,>;> 0
a demand for payment of thle liability, but It remalna unpaid. Therefore, c ,,> '"".,
there la a lien In favor of tha Unltad Statae on all property and right a to ......,..:.., '- ::-J
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property belonging to thle taxpeyar for tha amount of these taxee, end
eddlllonal penalllae, Interaet, and coetethat may accrue, ~[:~ 1',) '"
01,:: en "J .
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Name of Taxpayer ANTHONY G So FRANCINE CARDONE ~-~C) ...., ..r!~
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Residence ./
720 CONODOQUIUET AVE :! t.)
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CARLISLE. PA 17013-8971
IMPORTANT RELEASE INFORMATION: For each assessment listed below, 1\Qwpc\
unless notice 01 lien Is refiled by the dale given in column (e), this notice shall,
on the day following such date, operate as a certificate of release as defined "\" \\l~"ll
In IRC 6325 al. /1..11 ~4 311
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ended Idenllfylng Number Assessment Reflllng of Aellaement
(a) (b) (c) (d) (8) (f)
1040 12131189 567-56-2965 1112:3/92- 12/23/02 667.76
1040 12131190 567-56-2965 05/27/91 06/26101 208.04
1040 12131/92 567-56-2965 02106/95 0:3108/05 1064.82
1040 12131193 567-56-2965 02/06/95 0:3/1)8/05 21315.44
Place of Filing
Prothonotary Total $
Cumberland County 4076.06
Carlisle. PA 17013
This notice was prepared and signed at Ph i I ade I c,h i a, PA
. on this,
the 15th day 01 December, 19~.
~Slgnatu~re-""",,,--,~.,,,,,,,,,v'i''''~'''''',"r '" Title
I fDrPatrJ~la BetleJewski- ACS
Manager
23-01-0000
l~eOt~t~i~~~~~y'ako acknowlodgmonts Is na' o..on"al'a Iho vahdlly 01 Nolieo 01 Fodoral Tullon
"J-~ ~II"C Part 1 . Kept By Recording Olllce Form 668 (Y) (Rev. 10,93)
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