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Department of the Treasury -Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien
(Rev. February 2004)
Serial Number For Optional Use by Recording Office
Area:
SMALL BUSINESS/SELF EMPLOYED AREA #2 C~ „ ~'13U ~`~
w
Lien Unit Phone: (800) 913-6050 464637008 J
As provided by section 6321, 6322, and 6323 of the Internal Revenue ~~Q.ap (7~ 7(.~-~-
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made GI j~E{ ~t~~'~','L,
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 ;~ ,~! ~ r 3!0 4
F~e~" I
property bebnging to this taxpayer for the amount of these taxes, and
addhional penalties, interest, and costs that may accrue.
Name of Taxpayer KENNETH W & SHARON L SMITH
Residence 55 FAIRFIELD ST
CARLISLE, PA 17013-3119
IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice of the lien is refiled by the date given in column (e}, this notice shalt,
on the day following such date, operate as a certificate of release as defined
in IRC 6325fa).
Tax Perbd Date of Last Daayy for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Reflling of Assessment
(a) b) (c) (d) (e)
1040 12/31/2007 XXX-XX-2680 05/26/2008 06/25/2018 644.86
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Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 644.86
This notice was prepared and signed at
the 15th day of
August
DETROIT, MI
2008
,
on this,
Signature ~ y
for DAVID M. SHROYER
Title
REVENUE OFFICER 22-06-1442
(717) 777-9625 x1320
(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. 4091 Form 668(n(c) (Rev. 2-20041
Part 1 - Kept ~ Reecording Office CAT. NO 60025X