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Department of the Treasury -Internal Revenue Service
Form 668 (Y)(c)
(Rev. February 2004) notice Of Federal Tax Lien ~~ ~ ~ ,~ y~ ~, F TL
Area: Serial Number For Optional Use by Recording Office
WAGE & INVESTMENT AREA #1
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Lien Unit Phone: (800) 829-7650 500919008 d.
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As provided by section 6321, 6322, and 6323 of the Internal Revenue Cie, /3~ o
Code, we are giving a notice that taxes (including interest and penalties) ~ ~ ~ ~, ~ 9 y
have been assessed against the following-named taxpayer. We have made
a demand for payment of this liabilky, but it remains unpaid. Therefore,
there is a lien in favor of the United States on all property and rights to n ,,,a
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 ANDREA T LONGENECKER '= n '~'~
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Residence
10 BUTLER CT ~ ~~'.-
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CARLISLE, PA 17013-1745 <,- rv ~r''
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, ~ ~ ~
unless notice of the lien is refited by the date given in column le), this notice shall,
on the day following such date, operate as a certificate of release as defined
in IRC 63251a).
Tax Period Date of Last D for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refi~g of Assessment
(a (b c) d e) (f)
1040 12/31/2000 XXX-XX-7786 02/18/2008 03/20/2018 408 .88
1040 12/31/2004 XXX-XX-7786 02/18/2008 03/20/2018 11204.60
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total I $ 11613 .4 8
This notice was prepared and signed at
the 11th day of December
DETROIT, MI
~~
on this,
2008
Signature ~ y
for DEBRA K. HURST
Title
ACS
(800) 829-7650
11-40-0000
(NQTE: Certificate of officer authorized by law to take acknowieogment is not essennai to the vanarcy or rvouce or reaera~ i ax uen
Rev. Rul, 71-466, 1971 - 2 C.B. 409)
Part 1 -Kept BY Retordin~ Ofrice Form 668(lf7(c) (Rev. 2-2004)
CAT. NO 60025X