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Form 668 (Y)(c) Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
(Rev. October 2000)
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #3 1t 0/- '1Ql/ ~
Lien Unit Phone: (800) 829-3903 230~69865
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 () ~d
a demand for payment of this liability, but it remains unpaid. Therefore, c -
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there is a lien in favor of the United States on all property and rights to -oce t"1'l
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property belonging to this taxpayer for the amount of these taxes, and zx
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additional penalties, interest, and costs that may accrue. (fJ Y.; \J.~~ .
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Name of Taxpayer RICHARD L & JUDITH A WEBBER ~C'- 22,~
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Residence 76 N HIGH ST :::2 (,) --<
NEWVILLE, PA 17241-1123 ~;r6'id-qi
IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice of the lien is refiled by the date given in column Ie), this notice shall,
on the day following such date, operate as a certificate of release as defined Dj /61'1/1
in IRC 6325(0).
Tax Period Date of Last Di'l. for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refi mg of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/1999 190-54-3989 04/24/2000 OS/24/2010 10986.76
Place of Filing
Prothonotary Total $
Cumberland County 10986.76
Carlisle, PA 17013
This notice was prepared and signed at
PITTSBURGH, PA
, O'n this,
the
25th day of January
2001
Signature
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for L G D~~ (800) 829-3903
, (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. 10-001
Part 1 - Kept By Recording Office CAT. NO 60025X
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Title
ACS
23-01-0008