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Department of the Treasury -Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien
(Rev. October 2000)
A Serial Number For Optional Use by Recording Office
rea:
WAGE & INVESTMENT AREA #2
Lien Unit Phone: (800) 829-7650
230177126 ~Q ~
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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, n _
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. ~'`'` ~ -
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Name of Taxpayer KIRK J HACHIGIAN
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Residence 22 CHESTNUT ST ,
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CAMP HILL, PA 17011-6603 ~;+ ~„ _-
IMPORTANT RELEASE INFORMATION: For each assessment listed below, ~ I h !-~
unless notice of the lien is refiled by the date given in column lel, this notice shall, eJV
on the day following such date, operate as a certificate of release as defined , I2 p
in IRC 63251a1• '
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Tax Period Date of Last Daayy for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/1997 370-58-6010 07/24/2000 08/23/2010 4881.98
1040 12/31/1998 370-58-6010 07/24/2000 08/23/2010 4466.81
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total I $
9348.79
This notice was prepared and signed at
the 04th day of July
PITTSBURGH, PA
2001
on this,
Signature ~' ~~ ~, „ I Title
ACS 23-O1-0000
for P S LANE (800) 829-7650
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Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 668(Y)(c) (Rev. 10-001
PatY 1 -Kept By Recording Office CAT. NO 60025X
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