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Department of the Treasury -Internal Revenue Service
Form 668 (Y)(c) Notice Of Federal Tax Lien
(Rev. February 20041 _
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Serial Number For Optional Use by Recording Office
Area:
SMALL BUSINESS/SELF EMPLOYED AREA #2
382267107 f~~i~,9
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Lien Unit Phone: (800) 913-6050 ,
As provided by section 6321, 6322, and 6323 of the Internal Revenue !G ~ 3L,
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we are giving a notice that taxes (including interest and penalties)
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have been assessed against the following-named taxpayer. We have made ~ ~ 9 ~ 4~~
a demand for payment of this liability, but it remains unpaid. Therefore,
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
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additional penalties, interest, and costs that may accrue. ~=~ ~-'
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Name of Taxpayer HAROLD S IRWIN III _
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Residence 606 MOORELAND AVE _ - ~'
CARLISLE, PA 17013-3730 =- rv ;_~rn
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, ~~ w ~
unless notice of the lien is refiled by the date given in column le), 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 Da~yy for unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilling of Assessment
(a) (b) (c) (d) (e) (~
1040 12/31/2000 XXX-XX-8289 06/11/2001 07/11/2011 19519.07
1040 12/31/2001 XXX-XX-8289 07/01/2002 07/31/2012 1802.43
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~ $ 213 21.5 0
This notice was prepared and signed at DETROIT, MI
the 02nd day of August 2007
on this,
Signature A ACS
22-00-0008
for REGINA OWENS (800) 829-3903
(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. 2-20041
Part 1 -Kept By Recording Ofiice CAT. NO 60025X