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08-1153
4804 Department of the Treasury -Internal Revenue Service Form 668 (Y)(c) 2004 Notice of Federal Tax Lien ry ~*- r ~~~3 f" / ~ © ) (Rev. February , ~r rial Number S For Optional Use by Recording Office Area: e SMALL BUSINESS/SELF EMPLOYED AREA #2 421298908 ~ ~~4, ~'~ ~d ~ Lien Unit Phone: (800) 829-3903 / As provided by section 6321, 6322, and 6323 of the Internal Revenue ~ a Z 83(, Code, we are giving a notice that taxes (including interest and penalties) have been assessed against the following-named taxpayer. We have made ~ ,~ o St ~ S~ 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. c ~ ~ ,~ Name of Taxpayer RANDY COMERER ~ ~ !'~' t_~ ~ :z~ Residence 134 SPRINGFIELD RD ~~; ~ -. NEWVILLE, PA 17241-9456 ={' _,- -z? } .-,~ _. t IMPORTANT RELEASE INFORMATION: For each assessment listed below, f-- ~ -~~ ^"`( unless notice of the lien is refiled by the date given in column (e), this notice shall, --~ c~ :;~ on the day following such date, operate as a certificate of release as defined r~.:~ -C in IRC 6325(a). Kind of Tax Tax Period Ending Identifying Number Date of Assessment Last Dayy for Refiling Unpaid Balance of Assessment (a) (b) (c) (d) (e) (~ 1040 12/31/2006 XXX-XX-8972 06/18/2007 07/18/2017 1040 12/31/2006 XXX-XX-8972 09/03/2007 10/03/2017 2876.15 Place of Filing Prothonotary Cumberland County Carlisle, PA 17013 DETROIT, MI This notice was prepared and signed at the 12th day of February Total ~$ 2876.15 on this, 2008 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. 2-2004) Part 1 -Kept By Recording Office CAT. NO 60025X