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499 Department of the Treasury - Internal Revenue Service
!Form 668 (Y)(c) Notice of Federal Tax Lien
(Rev. August 1991)
District Serial Number For Optional Use by Recording Office
PENNSYLVANIA 230057115 uJO, J.CfX)- ISqt.j.
As provided by section 6321, 6322, and 6323 of the Internal Revenue ~
Code, we are giving a notice that taxes (including interest and penalties)
have been ilssessed against the following-named taxpayer. We have made
a demand for payment of this liability, but it remains unpaid. Therefore, 0 c:J 0 .
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there is a lien in favor of the United States on all property and rights to -- ._,
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property belonging to this taxpayer for the amount of .these taxes, and "--,.. ;~:'-'i ~;Q
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additional penalties, interest, and costs that may accrue. ~~S i:~.'" - ""-"'":'.
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Name of Taxpayer MARY ANN LISSE r:: e.~: .. ~~).
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Residence -' .
519 LAVINA DR =2 N 53
MECHANICSBURG, PA 17055-4941 .- -<
IMPORTANT RELEASE INFORMATION: For each assessment listed below, ~q.oDfd
unless notice of the lien is refiled by the date given in column (e), this notice shall, G.Ld: 15\1'-14
on the day following such date, operate as a certificate of release as defined
in IRe 6325(a).. f1...~ Qa.'a'5a
Tax Period Date of Last I)a.r. for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilng of Assessment
(a) (b) (c) Cd) (e) (f)
940 12/31/1998 23-2419132 04/12/1999 05/12/2009 374.96
941 03/31/1996 23-2419132 04/07/1997 05/07/2007 1864.66
941 06/30/1996 23-2419132 04/07/1997 05/07/2007 5450.03
941 09/30/1996 23-2419132 04/07/1997 05/07/2007 3911.31
941 12/31/1996 23-2419132 04/07/1997 05/07/2007 3595.86
941 06/30/1997 23-2419132 11/16/1998 12/16/2008 3817.56
941 09/30/1997 23-2419132 11/16/1998 12/16/2008 2577.03
941 03/31/1998 23-2419132 04/05/1999 05/05/2009 1833.77
Place of Filing
Prothonotary Total $
Cumberland County 23425.18
Carlisle, PA 17013
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This notice was prepared and signed at
PITTSBURGH, PA
, on this,
the
04th day of February
2000
Signatur~or J. w~ a LJ~
Title
Revenue Officer 23-01-1450
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien
Rev. Ru!' 11-466,1911 - 2 C.B. 4091 Form 668(Y)(c) IRev.8-911
Part t - Kept By Recording Office CAT. NO 60025X
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