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Form 668 (Y)(c)
(Rev. October 2000)
Area: Serial Number
WAGE & INVESTMENT AREA #2
Lien Unit Phone: (800) 829-7650 146262103
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 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
additional penalties, interest, and costs that may accrue.
Name of Taxpayer MICHAEL C BENNETT
Residence
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
For Optional Use by Recording Office
GENERAL DELIVERY
MECHANICSBURG, PA 17055-9999
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 Pe~od Date of Last D~for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Reflhng of Assessment
(a) (b) (c) (d) (e) (0
1040 12/31/1996 208-56-8008 12/23/2002 01/22/2013 5925.06
1040 12/31/1997 208-56-8008 12/23/2002 01/22/2013 6947.24
1040 12/31/1999 208-56-8008 12/23/2002 01/22/2013 8550.10
1040 12/31/2000 208-56-8008 12/23/2002 01/22/2013 11387.89
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~; 32810.29
This notice was prepared and signed at
PHILADELPHIA, PA
* __ , on this,
the 03rd day of December 2003
SiglkapJ're - Title
ri: 12-oo-oooo
(800) 829-7650
(~OTE: 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)
~a~ I - Kepi By R~ord~g O~ce Form 6&8(¥)(c) (Rev. 10 00)
CAT. NO 60025X