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Department of the Treasury -Internal Revenue Service
Form 668 (Y)(c) Notice Of Federal Tax Lien r~
(Rev. February 2004) ~ ~ 7i • d ~~ ~ ~ T(,~
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 829-3903 437979308
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.
ame of Taxpayer TROY W
Residence 212 EDENDERRY WAY
ENOLA, PA 17025-3414
For Optional Use by Recording Office
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IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice of the lien is refiled by the date given in column (el, 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 Dayy for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (~
1040 12/31/2003 XXX-XX-7847 02/06/2006 03/07/2016 4252.94
1040 12/31/2006 XXX-XX-7847 06/04/2007 07/04/2017 8332.53
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 12585.47
This notice was prepared and signed at
the 15th day of April
DETROIT, MI
2008
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(n(c) (Rev. 2-2004)
Part 2 -Internal Revenue Service TDA Copy CAT. NO 60025X
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