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499
Form 668 (Y)(C)
(Rev. October 2000)
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
Area: Serial Number
WAGE & INVESTMENT AREA #2
Lien Unit Phone: (800) 829-7650 230169915
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 of this liability, but it remains unpaid. Therefore,
there is a lien in favor of the United States on all property and rights to
property belQnging to this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs that may accrue.
Name of Taxpayer CAROLYN A HYNES
For Optional Use by Recording Office
O/-1f~ PTL
Residence
PO BOX 3211
SHIREMANSTOWN, PA 17011-3211
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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,
on the day following such date, operate as a certificate of release as defined
in IRC 6325(a).
Kind of Tax
(a)
1040
Tax Period
Ending
(b)
12/31/1991
Identifying Number
(c)
123-38-1139
Date of
Assessment
(d)
02/09/1998
Last Day for
RefiIing
(e)
03/10/2008
Unpaid Balance
of Assessment
(f)
6883.67
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $
6883.67
This notice was prepared and signed at
PITTSBURGH, PA
, on this,
the
25tn day of January
2001
Signature 'td{'MLlJ;)l;J~ J!~~ 23-01-0000
for P S LANE (800) 829-7650
(NOTE: Ce(tificate 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) IRev, 10,001
Part I - Kept By Recording Office CAT. NO 60025X