HomeMy WebLinkAbout96-00492
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Form 668 (Z) aeo Deportmont 01 tho Treasury. Intornol Hevonuo Service
Certificate of Release of Federal Tax Lien
(A... H4)
District Serlo I Numbor For U.. bV R.cordlng Ollie.
D, .. - ~.- qf& - IICf;).. ':71-
I certify thlloslo the lollowlnll.namo Ilxpoyor. Iho requIrements 01 section 6325 (I)
01 the Internll Rlvlnul Code hive bean satlstled for thsloXGs listed below and for
sllststutory additions. Therelore, the lion provided by Code secllon 6321 lor theso
tsxea and additions has boen released. The proper olllcer In the olllco where tho C t.O 0
notice 01 Internal revenuo tax lien was lIIed on Januat"Y 3n ~? en 0"
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19 ..:2fL. Is In authorized to nolo tho books to show tho release 01 Ihls lion lor '-"C" S;
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these laxes and addItions .'..- .; I ....,
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Nome 01 Taxpsyor A J
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OVID L EVANS !::-':I': ~:::
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Residence .. I
3210 PROD" FH" 7..' '.
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c/\t>lf-' HILL, PI, 1i'Ol1-1S17 -'. ,-:; -:;
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COURT RECORDING INFORt~ATION : t.'I!-I / ~ i9~r;-
Liber Page UCC No. Serial No. Il/:+- ~O"i rI'I
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Tax p", iod Dole 01 ~ast Day lor Unpaid Balance
Kind of Tax E:oded ILlclllilylllg Number Assessment Rellllng 01 Assassment
(0) (bl (c) (d) (0) (I)
_. __'4 ,. __ .- - .. -
1040 12/31/92 182-40-9594 05/31/93 06/30/03 3079.52
1040 12/31/92 182-40-9594 10/04/95 11/03/05
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Ploce 01 Filing
Pro th 0 n otat'y Total $
Curnl.oet'land County 3079,52
Carl i ~ I ". PA 17nt::l
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This nolicL was propared and signed al
P itt~c::hlll''''Jh PA
. on Ihis,
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ChIef, S.P.B.
(NOTE: C"fflf,C,1ftl ole",cl" .1utho{,"t>Jbrl.l~ tv Id~fI.1C'."J~,'t'dgmettts,s not 11~~f'nr,.1110 thl' ~,.'ltd,ty 01 Cer""CJ:1I or nt11tIJ!it. ot Ft.tdufal T,n'ls" Rev. Ilul. 71.466, '971.2
C 8 409)
PAIIT 1 . AECOnOIl,O OFFICE Formael (Z)(Aov. &-94J
CAT. NO 100211
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i Form 668 (V) 380 Oepertment of the Trellury . Internel Revenue Service
Notice of Federal Tax LIen
(R...., October 1993)
District Serial Number For Optional Uu by Rocordlng Ort/co
Ph' 1,.iD!"hia. PA ,,:.1"',9{~.nnn.':(J-j I-Ju. 'llo - I.Vr:2 nL
As provided by sections 6321, 6322, end 6323 of the Intornel Revenue
Code, we are giving a notice that taxes (Including Interest and penalties) 0 '_':l ,,>
have been 81sessed against the lollowlng.named taxpayer. We have made t.-:::-: \..i\ .'.--1
a damand for payment of this liability, but It remains unpaid. Therefore, ;." '- -,
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there Is a lien In favor of the Unlled States on all property and right a to . . . ilj-'_
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property belonging to this taxpayer for the emount of these taxes, and : ",' w "'8
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addltlonel penalties, Interest, and costs that mey eccrue. ::)0
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Name 01 Taxpayer DAVID ; :C-' ,.)~
L EVANS .h . -\.)
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Residence -. ......
3310 BROCIK RD
, CAMP HILL. PA 17011-1517
IMPnRT.~"T I'lJ:LC:.~OC: tW"OnMATION: For each il5sesSment listed balow, ft '1. uu ptl
I unless notice of lien is refiled by the date given In column (e), this notice shall,
" on the day f~~~wlng such date, operate as a certillcate 01 release as delined C.u,f //-;;'/4.3
In IRC 6325 a , 11-11 3 1 Ll 3/
Tax Period Date 01 Last Day lor Unpaid Balance
'I Kind of Tex Ended Identifying Number Assessment Reflllng 01 Al8el8menl
(a) (b) (e) (d) (e) (f)
1040 12131192 182-40-9594 (\5/31/93 06/:30/03 :307~" .62
1040 12/31/92 182-40-9594 10/04/95 11/03/05
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! Place of Filing Prothonotary
, Tolel $
Curnberland County 3079.52
Car lis Ie. PA 170t3
This notice was prepared and signed at Ph i I ~.if' I ph i" PA
. on this.
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Title
Manager
'::':{-01 -(1(100
( TE: CO,;illcnte of offl"l,..aulhorizod by law to taka .1cknowllldgmonls is not o5sontlalto Iho validity 01 Notice 01 Federal Tax lien
Rev. Aul 71.466.1971.2 ceo 409)
Part 1 - Kept By Recording Ollire
Form 668 (V) (Rev. 10.93)
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