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Form 668 (Y)(c) Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
tRev. October 2QOOJ
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #3 ftd/- d/~t' F-r?
Lien Unit Phone: (412) 395-5265 230174359
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, 0
there is a lien in favor of the United States on all property and rights to 0
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property belonging to this taxpayer for the amount of these taxes, and s-;;; ..,. ~,;
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additional penalties, interest, and costs that may accrue. --00.,' '):" ~-
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Name of Taxpayer THOMAS A & LINDA J BOCH Z'.:f:> \ _0:'''-''(<
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Residence 35 SKYLINE DR ...:;-,C\ ~ .,;:::\
MECHANICSBURG, PA 17055-1751 eK-tF J;} '.1' ?:Q
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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 1<# h \d1C
in IRe 6325(a).
Tax Period Date of Last Dal. for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refi 109 of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/1996 410-80-4475 09/01/1997 10/01/2007 616.67
1040 12/31/1999 410-80-4475 06/05/2000 07/05/2010 49114.59
Place of Filing
Prothonotary Total $
Cumberland County 49731.26
Carlisle, PA 17013
This notice was prepared and signed at
PITTSBURGH, PA
, on this,
the
26th day of April
2001
Signature
Title ,
Revenue Off1cer
for D. ZMUDZIN (717) 221-3490
(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. 409) Form 668(Y)(c) (Rev. 10-001
Part 1 - Kept By Recording Office CAT. NO 60025X
23-01-1441