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Department of the Treasury - Internal Revenue Service
Form 668 (¥)(¢)
Notice of Federal Tax Lien
Area: Serial Number
SMALL EUSINESS/SELF EMPLOYED AREA #3
Lien Unit Phone; (800) 829-3903 142698003
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,
there is allen in favor of the United States on ail property and rights to
property belonging to this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs that may accrue.
Name of Taxpayer VINCENZO PALE]MBO
Residence 10 DAPP LN
MECIEANICSBURG, PA 17050-1721
For Optional Use by Recording Office
IMPORTANT RELEASE INFORIqATION: For each assessment listed below,
unless notice of the lien is refiled by the date given in column (e), this notice shall,
in°n IRCthe 6325(a).day following such date, operate as a certificate of release as defined ~ /('j~ 7(~ "~~-~'"'~(
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Reflling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/1995 224-33-9776 01/11/2000 02/10/2010 473.20
1040 12/31/1996 224-33-9776 12/06/1999 01/05/2010 1941.62
1040 12/31/1997 224-33-9776 12/06/1999 01/05/2010 859.47
1040 12/31/1998 224-33-9776 07/23/2001 08/22/2011 647.26
1040 12/31/1999 224-33-9776 12/04/2000 01/03/2011 1512.24
1040 12/31/2000 224-33-9776 07/09/2001 08/08/2011 201.54
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $ 5635.33
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the 07th day of November 2003
Signature~ . ~ ~ P 0,¢ [ Title
b £ cs
for L ~LE~~¢'u~c~
23-00-0008
[ (800) 829-3903
(~OTE: Ce~ificate of officer authorJzed by Jaw to take acknowledgment is not essential to the validity of Notice of Fede~aJ
Rev. RuL 71-466, 1971 - 2 C.B. 409) Form 668(Y)(() (Rev, 10-00~
Pa~ t - Ke~t By R~ordla~ O~(e CAI. NO 60025X