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Department of the Treasury -Internal Revenue Service
IForo~ ssa cY)(~) Mice of Federal Tax Lien r
(Rev. February 2004) ~ ~ n 7~ _'~/~ ~3 f~- r~
A Serial Number For Optional Use b RY~ording Office
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SMALL BUSINESS/SELF EMPLOYED AREA #2 n
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Lien Unit Phone: (800) 913-6050 385386807 d
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As pr+otiWed by secdon 6321, 6322, and 6323 of the Mternal Revenue ~ ~`gg/
Code, we are 1eivi~ a nodce that taxes (hxladh~ interest and penalties)
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haw base assessed api~t die foKowin~-named taxpayer. We have made ~„ / 9
a demand for payment of this ~abi~ty, bat h renul~s aepaid. Therefore,
there is a ilien h favor of the llnh~d States on a0 property and ryhts to
property below to this taxpayer for the amount of these taxes, and _
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additional penalties, interest, and costs that may accrues , ~- "'
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Name of Taxpayer BRIGITTE B BENEDICT .
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Residence
703 A WEST SIMPSON STREET -" ~: ~`
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MECHANICSBURG, PA 17055-0000 -~'~°~ o Om
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IMPORTANT RirLEAtE 1NICQRMATION: For each assessment listed below, .c
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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 ~ ~ for Uapsid
Kind ~ Tax End IdentUying Nun~er ~luessment Ref of matt
a b c d e
940 12/31/2000 25-1711959 11/12/2001 12/12/2011 532.37
941 03/31/2001 25-1711959 07/02/2001 08/01/2011 794.64
941 03/31/2003 25-1711959 09/29/2003 10/29/2013 875.39
941 09/30/2003 25-1711959 12/08/2003 .01/07/2014 753.06
941 09/30/2004 25-1711959 12/27/2004 01/26/2015 131.50
941 12/31/2006 25-1711959 03/26/2007 04/25/2017 277.64
941 03/31/2007 25-1711959 07/02/2007 08/01/2017 1129.64
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 4494.23
This notice was prepared and signed at
DETROIT, MI
the 17th day of August .2007
on this,
Signature A ~Y~~ Title
REVENUE OFFICER 22-06-1407
for SEAN DUNLEAVY (717) 777-9626
(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 66A(lf)(c) (Rev. 2-2004)
Part 1 - Kept ~ iRatoriE Oillla CAT. NO t30025X
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