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Form HI (Z) (Rev. 0.91)
CAT. NO 800201
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Form 888(Z) ! O.p.rtm.nl of Ih. Tr...ury - Inl.rn.' R.v.nu. S.rvlc.
(Rev.H1) Certificate of Release of Federal Tax Lien
OI.lrlcl S.,lal Number For U.. bv R.cordlna Offlc.
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I c.rtlfy Ih.llh. followlng-n.m.d I..p.y.r, undar Ih. raqulram.nl. of ..ctlon 8325 (.)
of Ih. Inl.rn.1 Rav.nu. Cod. h.. ..tI.f1.d Ih. I.... 1I.led below .nd .11 .1.IUlory
.ddltlon.. Th.r.for., Ih. lI.n provided by Cod. ..ctlon 8321 for Ih... I.... .nd r; ,:C! (')
.ddltlona h.. be.n ral....d. Th. proper offlc.r In Iha offlc. where Ihe notice of f~ ;;.0 ..
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Inl.rnel revenue tax lien w.. flied on , ." .....,.. " <. :r1
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, """, I. .ulhorlzed 10 nol. Ihe book. 10 .how Ihe ral.... of Ihl. lien for '. I . !p~
Ih..e I.... .nd .ddlllon.. (.1. (7' ..),T)
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N.me of T..p.y.r :'1
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Kind ofT.. T.. Period Ended Identifying Number D.I.of La.1 D.y lor Unp.'d B.'.nc. of
(II) (b) (a) A.....m.nl Reflllng A.....m.nl
(d) (II) (f)
l('q,"j t" I 31 / 1 ';leI: t -.,,;.: '!:2-11se 1<:=')1 . , qq" '1'3/ l:'?: 2I'l!'H-, 8C:(1'::,. '?';1
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,..... ,./.-#.j. j. I ~ I>. .,. ,.. I< '* t f j. ;. ..,.;'-; 'II'" ~ Idd. p.;..,. . ~, of, .;. of, .,. I> " ,. ,. ;. .. . of, __ .. __ ..,. . .,.. .. p ,. .. j. .1-1> . , .,. i> p 't" <j. ~ .. ;. ,. + 1-
PI.c. 01 Filing
! , .,., . , I ~ 1 Tota' $
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ThIs nollce was prepared and signed at
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,on thla,
Ihe
.! day of
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Signature
I Tille
(NOTE: Certiflc41, ot ome.r.Utnorired by law to tete, '~n"l. not esuntlal to tha VllkJlty at C,rtinc.t, ot R,,.,,.. 01 Federa/lU lien R~ Rut. 7I-4B1. 1971.2 c.a 409)
PART 1 . RECORDING OFFICE
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THIS NOTICE CORRECTS ORIGINAL NOTICE 2:3'~1)t 191n FILED ON ')6/22/9"
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Form 668 (V) Depertment of the Troasury . Intarnal Revenue Service
(R,y. Oelob., 1993) Notice of Federal Tax Lien
District Serial Number For Opr,onol Us. by R.cordlng Off/c.
Philadelphia 2:39518185 N' ql!, - 4311, FTL
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As provided by sections 6321, 6322, end 6323 of the Internal Revenue
Code, we are giving a notice that taxea (Including Intereat and penalties)
have been asseased egalnst the followlng.named texpayer. We heve made 0 If} :;1
C lj'l
S de mend for peyment of this lIeblllty, but It remains unpaid, Therefore, ~.J; .
there Is a lien In fsvor of the United States on ell property and rights to -.-1<1 .~-: =lJ
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property belonging to this tsxpayer for the amount 01 these taxes, snd ..#"....
;:.;::: N 'n~
additional penalties, Interest, and costs that may accrue, c', .,'1....
--. .. - .;)
r-.... 'j
Name of Taxpayer JACK A So LINDA ..1.... -n
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M LENKER JR ,';c;
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Residence 1060 HIGHLAND DR -. - ~
MECHAMICSBURG. PA 170666006
IMPORTANT RELEASE INFORMATION: For each assessment listed below, '\lq.OO~<:1
unless notice of lien Is rellled by the date given In column (e), this notice shall,
~OWing such date, operate as a certificate 01 release as defined c.u.t\ \ 1....':1.\
Inl 2 ---'" nATl::' nl ''-'' 'ft' ~,~ Rll :'>'-\3\'\
Tax Period Date of La at Day lor Unpaid Balance
Kind of Tax Ended Identllylng Number Assessment Rellllng 01 Assellment
(a) (b) (c) (d) (a) (I)
1040 12/:31/88 172-6:2-1158 02/12190 0:3/14/00 8606.99
:
Place of Filing Prothonotary
Cumberland County Totel $ 8605.99
Car II 5 I e. PA 17013
\ Orl<llnal Recording Data:
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'This notice was prepared and signed at
12.157 108 5441
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Philadelphia. PA.
, on this,
10.:.0
I'. ,-:.--~",,~.~.,..
the 17th day,of 'Decembiir ,'1'9 95~
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Title
Chief. S.P.B.
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(NOTE: CortiliCDto at ollleor authorized by law 10 lako acknowtodgmcnls is not cssonlialto tho validltv of Notice 01 Fedoral TO)l lion
Roy. Ru!. 71.466, 1971 ,2 C.D. 409)
Part 1 . Kept By Recording Office
Form 668 (V) (Rev, 10,93)
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