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Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c)
(Rev. October 2000)
Area: I Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #3
lien Unit Phone: (412) 395-5265 230302889
As provided by section 632 l, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice Chat taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made
a demand for payment of this liabriity, but Jt 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 MYLES H SHOOP JR
Residence
Notice of Federal Tax Lien
813 CAROL CIR
NEW CUMBERLAND, PA 17070-1418
For Optional Use by Recording Office
Kind of Ta~ Tax Period Date of Last Day for Unpaid Balance
Ending Identifying Number Assessment Retiring of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/1997 161-34-0691 11/11/2002 12/11/2012 1620.22
1040 12/31/1999 161-34-0691 11/11/2002 12/11/2012 2551.69
1040 12/31/2000 161-34-0691 11/11/2002 12/11/2012 2464.30
1040 12/31/2001 161-34-0691 09/30/2002 10/30/2012 2683.99
Place of Filing
Prothonotary
Cumberland County 'Total $
Carlisle, PA 17013 9320.20
This notice was prepared and signed at
PITTSBURGH, PA
, on this,
the 06th day of March 2003
Signa ' ' Title
"e~ack REVENUE OFFICER
for DENNIS P'.~~, (717) 221 34 23-11-1441
(NOTE: Certificate of officer authorized by law to nowledgment is not essential to the validity of Notice of Federal Tax lien
Rev. Rul. 71-466, 1971 - 2 C.B. 409)
ParC I - Kept By Recording Office Form 668(Y)(c) (Rev. 10-00)
CAT. NO 60025X