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11799
Department of the Treasury - Internal Revenue Service
Form 668 (Y)(C)
(Rev. February 2004)
Notice of Federal Tax Lien
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (SOO) 913-6050 337692107
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are sMng a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made
a demand for payment of this liability, but it remains unpaid. Therefore,
there is a lien in favor of the United States on all property and rights to
property belonging to this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs that may accrue.
Name of Taxpayer SCOTT A LAKE
Residence
142 15TH ST APT G
NEW CUMBERLND, PA 17070-1178
IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice of the lien is refiled by the date given in column (e), this notice shall,
on the day following such date, operate as a certificate of release as defined
in IRe 6325(a).
Tax Period Date of Last Da.r. for
Kind of Tax Ending Identifying Number Assessment Refi ng
(a) (b) (c) (d) (e)
941 12/31/2001 23-3002899 09/18/2006 10/18/2016
941 03/31/2002 23-3002899 10/23/2006 11/22/2016
941 06/30/2002 23-3002899 09/25/2006 10/25/2016
941 09/30/2002 23-3002899 09/25/2006 10/25/2016
941 12/31/2002 23-3002899 09/25/2006 10/25/2016
941 06/30/2003 23-3002899 02/09/2004 03/11/2014
941 06/30/2003 23-3002899 03/20/2006 04/19/2016
941 09/30/2003 23-3002899 09/11/2006 10/11/2016
941 12/31/2003 23-3002899 09/11/2006 10/11/2016
941 03/31/2004 23-3002899 09/11/2006 10/11/2016
941 06/30/2004 23-3002899 11/22/2004 12/22/2014
941 09/30/2004 23-3002899 09/11/2006 10/11/2016
941 12/31/2004 23-3002899 09/11/2006 10/11/2016
941 03/31/2005 23-3002899 09/18/2006 10/18/2016
941 06/30/2005 23-3002899 09/18/2006 10/18/2016
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $
This notice was prepared and signed at
DETROIT, MI
, on this,
the
08 th day of January
2007
Signature
Title
REVENUE OFFICER
(609) 278-7767
for M. STELLA
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Unpaid Balance
of Assessment
(f)
46461.69
52318.45
43830.53
32907.49
30279.88
38246.21
20358.92
21665.98
18405.58
799.36
14528.24
10704.74
8354.33
10193.79
349055.19
22-03-4927
Part 1 - Kept By Recording OffIce
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien
Rev. Rul. 71-466, 1971 - 2 C,B. 409)
Form 668(Y)(c) (Rev. 2-2004)
CAT. NO 60025X