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Department of the Treasury -Internal Revenue Service
Form 668 (Y)(c) Notice Of Federal Tax Lien
fRev. February 2fXM) ~~ O ~- ~ 9/f~ ~ TL
Serial Number For Optional Use by Recording Office
Area:
SMALL BUSINESS/SELF EMPLOYED AREA #2 ~ f 4 ~'D
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Lien Unit Phone: (800) 829-3903 441614008 d,
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As provided by section 6321, 6322, and 6323 of the Internal Revenue ~ ~ ~ ~ ~
Code, we are giving a notice that taxes (including interest and penalties) C' k.
have been assessed against the folloMring-named taxpayer. We have made a 0 ~ ~ g ~
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a demand for payment of this liability, but it remains unpaid. Therefore, •
there is a lien in favor of the ilnited States on all property and rights to
property belonging to this taxpayer for the amount of these taxes, and
additional penakies, interest, and costs that may accrue.
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Name of Taxpayer PETRO M PYNYAK
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Residence 613A GENEVA DR APT 33 x"',;.~ ~
MECHANICSBURG, PA 17055-5414
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IMPORTANT RELEASE INFORMATION: For each assessment listed below,
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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 last Dayy for unpaid Balance
Kind of Tax Ending Identifying Number Assessment Re 8ling of Assessment
(a) (b) (c) d) (e) ~
1040 12/31/2003 XXX-XX-1450 05/14/2007 06/13/2017 6637.42
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 6637.42
This notice was prepared and signed at
the 29th 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 66$(l()(c) (Rev, 2-20041
Part 1 -Kept By Recording OR'Ice CAT. NO 60025X