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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 tJ: Of-37J.J r-7L
Lien Unit Phone: (412) 395-5265 230176360
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 0 C:'~
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 5-" ,,"-
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property belonging to this taxpayer for the amount of these taxes, and S2~0 """- ~ -,"!
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additional penalties, interest, and costs that may accrue. 2:;::' -- - ': r-,j
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Name of Taxpayer STEVIE SMOKER ~c_ ::D-~
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Residence 127 HASSINGER RD z ~,) ::;~
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NEWBURG, PA 17240-9312
IMPORTANT RELEASE INFORMATION: For each assessment listed below, tK4r do3
unless notice of the lien is refiled by the date given in column (el. this notice shall,
on the day following such date, operate as a certificate of release as defined R#- 1'13651
in IRe 6325(a),
Tax Period Date of Last D?; for Unpaid Balance
Kind of Tax En~~~g Identifying Number Assessment Refi mg of Assessment
la) (c) (d) (e) (0
941 06/30/1997 25-1611458 06/28/1999 07/28/2009 16671.39
941 12/31/2000 25-1611458 03/19/2001 04/18/2011 1671.69
Place of Filing
Prothonotary Total $
Cumberland County 18343.08
Carlisle, PA 17013
This notice was prepared and signed at
PITTSBURGH, PA
. on this,
the
07th day of June
2001
Signature
Title ,
Revenue Off1cer
for D. FISHER (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, 10-00)
Part 1 - Kept By Recording Office CAT, NO 60025X
23-01-1439