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Department of the Treasury -Internal Revenue Service
Form 668 (Y)(c) Notice Of Federal Tax Lien
IRev. February 20041
A Serial Number For Optional Use by Recording Office
rea:
SMALL BUSINESS/SELF EMPLOYED AREA #2
463355908
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Lien Unit Phone: (800) 913-6050 .
As provided by section 6321, 6322, and 6323 of the Internal Revenue
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Code, we are giving a notice that taxes (including interest and penaltks) •
have been assessed agah~st the following-named taxpayer. We have made
a demand for payment of this liability, but it remains unpaid. Therefore, eke ~~57
there is a Ikn in favor of the United States on all property and rights to
property belonging to this taxpayer for the amount of these taxes, and
and costs that may accrue
interest
additional
enakks
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Name of Taxpayer CHRISTINE M HAMILTON
Residence 430 CANDLEWYCK RD
CAMP HILL, PA 17011-8425
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 63251a1.
Tax .Period Date of .Last Daayy for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Reflling of Assessment
(a) (b) c) (d) (e) (
6672 06/30/2003 XXX-XX-9438 02/15/2008 03/17/2018 723.49
6672 09/30/2003 XXX-XX-9438 02/15/2008 03/17/2018 3 377.84
6672 12/31/2003 XXX-XX-9438 02/15/2008 03/17/2018 846.69
6672 03/31/2004 XXX-XX-9438 02/15/2008 03/17/2018 921.77
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Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 5869.79
This notice was prepared and signed at
DETROIT, MI
the 12th day of August 2008
on this,
Signature ~ A ~Y~~ REVENUE OFFICER 22-06-1450
for JEFFREY WHITE (717) 777-9623 x1300
(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)
Part 1 -Kept Bp Recordin Office Form 66fit(Y)(c) IRev. 2-20041
E CAT. NO 60025X