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Fonn 668 (Y)(c} . Department of the Treasury - Internal Revenue Service
(Rev. October 2000) Notice of Federal Tax Lien
Area: Serial Number For Optional Use bV Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA 1J::-O l- 390/ nL
Lien Unit Phone: (412) 395-5265 230176558
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that ltaxes (including interest and penalties) ()
have been assessed against the fOllowing-named taxpayer. We have made c:;,
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a demand for payment of this liability, but it remains unpaid. Therefore, s: "-
there is a lien in favor of the United States on all property and rights to ~S~_i -~.-
property belonging to this taxpayer for the amount of these taxes, and -:>,...... N ,,~
additional penalties, interest, and costs that may accrue. &/2- G-
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Name of Taxpayer BRADLEY C MCALLISTER ~~:) ~'-"
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Residence =2 (11 ::.0
5140 ERBS BRIDGE RD -<
MECHANICSBURG, PA 17050-2432
IMPORTANT RELEASE INFORMATION: For each assessment listed below, f1)rt) ,
unless notice of the lien is refiled by the date given in column (e), this notice shall, ~ ICo
on the day following such date, operate as a certificate of release as defined It3S7C
in IRe 6325(a).
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. Tax Period Date of Last Da.r. for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refi lUg of Assessment
(a) (b) (c) (d) (e) (f)
941 06/30/2000 25-1852692 08/21/2000 09/20/2010 3913.42
941 09/30/2000 25-1852692 04/30/2001 05/30/2011 16450.29
941 12/31/2000 25-1852692 04/30/2001 05/30/2011 10837.06
Place of Filing
Prothonotary Total $
Cumberland County 31200.77
Carlisle, PA 17013
This notice was prepared and signed at
PITTSBURGH, PA
, on this,
the
14 th day of June
2001
Signature ~~tenue Officer 23-01-1448
for J. MARTINI (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,8. 4091 Form 668(Y)(c) IRev, 10-001
Part 2 - Internal Revenue Service TDA Copy CAT. NO 60025X
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