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Department of the Treasury -Internal Revenue Service
Form 668 (Y)(c) Notice Of Federal Tax Lien
(Rev. February 20041 .),)~ n Q_ ~ILSB. ~- .TL
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 ~ ~~ Il~tj,~N
459342908
As provided by section 6321, 6322, and 6323 of the Internal Revenue ~ °7~~ ~
Code, we are giving a notice that taxes (including interest and penalties) ~ ,~ ~~ S 3 y
have been assessed against the follyring-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, huterest, and costs that may accrue. ~ ~ ;~
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Name of Taxpayer CHARLES E HALL JR <;
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Residence 7 BEVERLY CT .~- ~z7C~
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CARLISLE, PA 17015-7937 ~~" ~,b ~-
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, r ~~
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unless notice of the lien is refiled by the date given in column (e1, this notice shall, ~
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on the day following such date, operate as a certificate of release as defined
in IRC 63251a).
Kind of Tax Tax Period
Ending
Identifying Number Date of
Assessment Last Day for
Refl g llnpaW Balance
of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2006 XXX-XX-6164 11/05/2007 12/05/2017 103694.39
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 103694.39
This notice was prepared and signed at
the 24th day of July
Signature
for RUTH V
DETROIT, MI
on this,
2008
Title
REVENUE OFFICER
(814) 944-0811
22-06-1416
(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(1f)(c) (Rev. 2-2004)
Part t -Kept By Raordin~ Office CAT. NO 60025X