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499 Department of the Treasury - Internal Revenue Service
Form 668 (Y)( c) Notice of Federal Tax Lien
(Rev. August 1997)
District Serial Number For Optional Use J2y ReCJl(ding ,Qffice
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PENNSYLVANIA 230061600 :;'< UJ
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As provided by section 6321, 6322, and 6323 of the Internal Revenue [flC~ -_ 0
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Code, we are giving a notice that taxes (including interest and penalties) :-::::c G:,
have been assessed against thl! following-named taxpayer. We have made ~~:':: .' C)
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a demand for payment of this liability, but it remains unpaid. Therefore, .'
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there is a lien in favor of the United States on all property and rights to ~~~':, --
property belonging to this ta][payer for the amount of these taxes, and .,
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additional penalties, interest, and costs that may accrue. =< ~D
Name of Taxpayer CURTIS G & SUSAN E KITZMILLER itCf)- (Q ( 00 i~IL
Residence 1 DEPOT RD ~~ 15330.;(
NEW CUMBERLAND, PA 17070-2439
IMPORTANT RELEASE INFORMATION: For each assessment listed below, ~ /OD$&q
unless notice 01 the lien is reliled 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 D?; for Unpaid Balan4:e
Kind of Tax Ending Identifying Number Assessment Refi mg of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/1993 166-52-2218 11/06/1995 12/06/2005 7382.87
1040 12/31/1994 166-52-2218 11/06/1995 12/06/2005 6754.34
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Place of Filing
Prothonotary Total $
Cumberland County 14137.21
Carlisle, PA 17013
This notice was prepared and signed at
PITTSBURGH, PA
, on this,
the
23rd day of
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August "',
,
2000
Signature _/,c"';""cL;:"',.L./..",.,":M"'"'_
1
for LOIS DOWD
Title
ACS 23-01-0000
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien
Rev, Ru!' 71-466,1971 - 2 C.B. 409) Form 668(Y)(c) IRev, 8-971
Part 1 - Kept By Recording Office CAT, NO 60025X