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THIS NOTICE CORRECTS ORIGINAL NOTICE 23QO~ln41 FILED ON 10/03/90
Form 668 (Y)
IR.v. OClob" HH~31
Dep.rlmenl ollhe Tre..ury . Inlernel Revenue Service
Notice of Federal Tax Lien
Olstrlcl
Serial Number
For Opllon.' U.. by R.cordlng Ollie.
Ph II ade I h I a ;;';:<91::.18170
AI provldld by lecUonl 6321, 6322, and 6323 of Ihe Inlernal Revenue
Code, we are giving a noUce Ihel texII (Including Interesl and penalUII)
have b..n .......d agalnlllhe following. named laxpayer. We have made
a demand for payment of thll lIabllllY, bul II remain. unpeld. Therefore,
there II a lIan In favor of the Un lIed Slatll on all property and right I 10
property belonging to thla laxpayer for the amounl of thlla taxII, and
addlllonal panalUII, Inlarlll, and COlli thaI may accrue.
i Name of Taxpayer EDWARD A RAYMER JR
(\/u, CJ tc - 435 FTL
. Residence
GENERAL DELIVERY
CAMP HILL. PA 170119999
IMPORTANT RELEASE INFORMATION: For each assessmentllsled below,
unless notice of lien Is reflled by Ihe date given In column (e). Ihls notice shall,
on the day following such date, operate as a certlflcale of release as defined
In I 2
Dale of
Assessment
(d)
rtqUuvd
I..\H IISI;)l
f!-u ?,q::ll"
Last Day for
Reflllng
(e)
Tax Period
Ended
(b)
, Kind of Tax
(a)
IdenUfylng Number
(c)
CIVP 09/30/88
189-38-8476 02/12/90 03/14/(10
Place of Filing Prothonotary
Cumberland County
Carl Isle. PA 17013
Ori inal Recordin Data:
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Unpaid Balanca
of Assessment
(f)
884Q4.78
Tolal $ 88404. 78
13: :35 111 5566
This notice was prepared and signed at
Phi ladelphia. PA.
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[Ihe 17th d"Y..l)f,.Dei:~ii'ibV;.' 719--..12'-
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Title
Chief. S.P.B.
. on Ihls.
Part 1 . KepI By Recording Office
(NOTE: Certlllc81e 01 offlcor authorizod by law 10 lake acknowlodgmonls i5 nol ossonliallo tho validity 01 NolleD 01 Federal Tax lien
Rev. Ru!. 71.466, 1971 .2 C.B. 409)
Form 668 (Y) (Rev. 10,93)
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