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Fonn 668 (Y)( c) Department of the TreasLlry - Internal RevenLle Service
Notice of Federal Tax Lien
(Rev. October 2000)
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #3 110/- Lj II Pn.-..
Lien Unit Phone: (800) 829-3903 230059l5l
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 Df this liability, but it remains unpaid. Therefore, -c:> 0 Q
there is a lien in favor of the United States on all property and rights to c: -
property belonging to this taxpayer for the amount of these taxes, and ;;:: "- :::J
"1:)o:J ",. ,.1- :!J
additional penalties, interest, and costs that may accrue, ~'g} % n1p.-
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Name of Taxpayer JAVIEL TaRO ~:i N (:)0
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Residence 802 BRIDGE ST APT 5 5>c: ~
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NEW CUMBERLND, PA 17070-1627 0)
IMPORTANT RELEASE INFORMATION: For each assessment listed below, ~ 9<, DO ft>
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 P1f 10(0 6fo
in IRC 6325(a). 1JIfI-' 153'8'01
Tax Period Date of Last D?; for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refi Ing of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/1998 169-58-7041 11/15/1999 12/15/2009 5781_74
Place of Filing
Prothonotary Total $
Cumberland County 5781_ 74
Carlisle, PA 17013
o
This notic.e was prepared and signed at
PITTSBURGH, PA
, on this,
the
30th day of
December
2000
Signature
t J~--I-i I 11',1
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Title
ACS
23-01-0008
for L G DOWD
(800) 829-3903
(NOTE: Certificate of officer authorized by law'to take acknowledgment is not essential to the vaJ.idity of Notice of Federal Tax lien
Rev. Ru!' 71-466, 1971 - 2 C.B. 409) Form 668(Y)(c) (Rev. 10.00)
Part 1 - Kept By Recording Office CAT. NO 60025X