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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 by Recording Office
PENNSYLVANIA 230062226\1FctJ-uJ8 7. FTL--
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 '), ~ 0 0
a demand for payment of this liability, but it remains unpaid. Therefore, 0 "
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there is a lien in favor of the United States on all property and rights to ~ro r'1 _.,~
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property belonging to this taxpayer for the amount of these taxes, and .,tJ$~ - -r;,:;
additional penalties, interest, and costs that may accrue. .&:- ~~
Name of Taxpayer PARKER E OHRUM ,,~c -0 ~.;.:!
B> 9. o:l~ ::r
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Residence 6615 CARLISLE PIKE 12 en ~
MECHANICSBURG, PA 17055-1708 ~/5~
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, K#I5J1/7
on the day following such date, operate as a certificate of release as defined
in IRe 6325(a),
Tax Period Date of Last D".r. for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refi mg of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/1992 553-82-3975 11/24/1997 12/24/2007 32561.09
Place of Filing
Prothonotary Total $
Cumberland County 32561.09
Carlisle, PA 17013
This notice was prepared and signed at
PITTSBURGH, PA
, on this,
29th day of August
2000
the
Signature ! k" L ,. Ii
for LOIS DOWD .../C(;A~ JAJ!,"_,~~
Title
ACS 23-01-0000
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(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,8, 409) Form 668(Y)(c) (Rev, 8-97)
Part t . Kept By Recording Office CAT, NO 60025X