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Department of the Treasury -Internal Rev enue Service
Form 668 (Y)(c) Notice of Federal Tax Lien
(Rev. February 20041
Area: Serial Number For Optional Use by Recordin Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050
463826808 ~S _~~ ~c„"..,/
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including interest and penalties)
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have been assessed against the following-named taxpayer. We have made .
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a demand for payment of this liabilhy, but it remains unpaid. Therefore, .~,, a (~s,,y
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there is a lien in favor of the United States on all property and rights to k.
property belonging to this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs that may accrue. ~~ 0213 ~ Z~
Name of Taxpayer SCOTT ESPENSHADE
Residence 114 S 2ND STREET
WORMLEYSBURG, PA 07043
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 Daayy for unpaid Balance
Kind of Tax Ending Identifying Number Assessment Re8ling ~' Assessment
a (b) (c) d (e
1040 12/31/2004 XXX-XX-3408 03/26/2007 04/25/2017 6954.99
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Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total I$ 6954.99
This notice was prepared and signed at DETROIT, MI
the 12th day of August 2008
on this,
Signature ~ A ~Yy~~ ACS 22-00-0008
for MICHAEL W. COX (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. 2-20041
Part 1 -Kept By Recording Office CAT. NO 60025X