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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
WAGE & INVESTMENT AREA #2 7lv. O{- 1.393 F'rL
Lien Unit Phone: (800) 829-7650 230181744
As provided by section 6321, 6322, and 6323 of the Internal Revenue ..;J.d. PJ/I q 9.(/0
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the fOllowing-named taxpayer. We have made W fi'i
a demand for payment of this liability, but it remains unpaid. Therefore, 4v. l/ftfO
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 0 C:) ~)
additional penalties, interest, and costs that may accrue. c .- '-I~i
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Name of Taxpayer JAMES G MCCONNELL Z~T) ~ .'
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Residence ~~: -'-,
RR 2 BOX 120 -, '-:0--'"
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NEWVILLE, PA 17241-9629 f"J
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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
in IRC 6325(a).
Tax Period Date of Last Dm: for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refi mg of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/1994 232-23-0742 07/26/1999 08/25/2009 4428.88
1040 12/31/1995 232-23-0742 07/26/1999 08/25/2009 8574.14
1040 12/31/1996 232-23-0742 07/26/1999 08/25/2009 4244.61
Place of Filing
Prothonotary Total $
Cumberland County 17247.63
Carlisle, PA 17013
This notice was prepared and signed at
PITTSBURGH, PA
I on this,
the
02nd day of November
2001
Signature
'Title
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f,_-=",.laL-'1.;1A,.--'L_'~~""/""'-k'Ygi;'<""",,,,,,,';i, ACS
for P SLANE (800) 829-7650
(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, 4091 Form 668(Y)(c) (Rev. 10,001
Part 1 - Kept By Recording Office CAT. NO 60025X
23-01-0000