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7116
Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c)
(Rev. February 2004)
Notice of Federal Tax Lien
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For Optional Use by Recording Office
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 829-3903 343966607
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 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 aD 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 RAYMOND J BERNARDINI
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222 STATE ST
ENOLA, PA 17025-3235
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 IRC 6325(a).
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Tax Period Date of Last Dur. for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refi ng of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2001 XXX-XX-3602 05/31/2004 06/30/2014 3672.65
1040 12/31/2002 XXX-XX-3602 02/13/2006 03/14/2016 5491.42
1040 12/31/2003 XXX-XX-3602 02/13/2006 03/14/2016 3703.17
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $
This notice was prepared and signed at
DETROIT, MI
the
06th day of February
2007
Signature
Title
ACS
(800) 829-3903
for REGINA OWENS
12867.24
, on this,
22-00-0008
Part t . Kept By R.ecordlng 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. 4091
Form 668(Y)(c) (Rev. 2-20041
CAT. NO 60025X