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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
SMALL BUSINESS/SELF EMPLOYED AREA #3
Lien Unit Phone: (800) 829-3903 23017043
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 belonging to this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs that may accrue.
Name of Taxpayer JOSEPH S CUSTER
For Optional Use by Recording Office
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Residence
276 BURNTHOUSE RD
CARLISLE, PA 17013-9135
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 IRe 6325(a).
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ev-# 15Y?::J5
Tax Period Date of Last Dad'; for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refi mg of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/1991 208-52-5498 06/01/1992 07/01/2002 86.72
1040 12/31/1992 208-52-5498 05/17/1993 06/16/2003 1044.68
1040 12/31/1993 208-52-5498 06/13/1994 07/13/2004 4069.22
1040 12/31/1994 208-52-5498 11/11/1996 12/11/2006 194.57
1040 12/31/1995 208-52-5498 OS/27/1996 06/26/2006 985.28
1040 12/31/1999 208-52-5498 OS/29/2000 06/28/2010 1527.09
Place of Filing
prothonotary
Cumberland County
Carlisle, PA 17013
Total $
7907.56
This notice was prepared and signed at
PITTSBURGH, PA
, on this,
the
06th day of February
2001
Signature ~ Title
J I /> J 1. I ACS 23 - 0 1- 0008
for L G ulIiS"''?.- VI. I-.I~ (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. Ru!' 71-466,1971 - 2 C.B. 409) Form 668(Y)(c) IRev. 10-001
Part 1 - Kept ,By Recording Office CAT. NO 60025X