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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 # 0 1- )t.J'S1 {:/L
Lien Unit Phone: (800) 829-3903 230171457
As provided by section 6321, 6322, and 6323 elf 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, $ 9 ~ pr>
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 'c,.
additional penalties, interest, and costs that may accrue. ,~
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Name of Taxpayer R GEORGE & SHARON MOYE tlirn ;;;0
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Residence 1715 SHERWOOD RD :s -0 -7'""'''1
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NEW CUMBERLND, PA 17070-1455 );2 - z,r;
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, CK~ 15"43 q J
unless notice of the lien is refiled by the date given in column (e), this notice shall,
1_ _ on the day following such date, operate as a certificate of release as defined ~(O~~ss-
I', in IRC 6325(a).
Tax Period Date of Last Da.r. for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refi mg of Assessment
, (a) (b) (c) (d) (e) (f)
,1040 12/31/1998 214-50-9304 05/31/1999 06/30/2009 6002.46
1040 12/31/1999 214-50-9304 OS/29/2000 06/28/2010 3300.87
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Place of Filing
Prothonotary Total $
Cumberland County 9303.33
Carlisle, PA 17013
This notice was prepared and signed at
PITTSBURGH, PA
I on this,
the
24th day of February
2001
Signature
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for L G~~n-~ (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,8, 409) Form 668(Y)(c) (Rev, 10-00)
Part 1 - Kept By Recording Office CAT. NO 60025X
Title
ACS
23-01-0008