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Department of the Treasury -Internal Revenue Service
Form 668 (Y)(c)
(Rev. February 2004) Notice Of Federal Tax Lien
Area: Serial Number For Optional Use by Recording Office
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (800) 829-7650 504149208 UQ _ fiG ~~-r-~
As Provided by section 6321, 6322, and 6323 of the Internal Revenue O
Code, we are giving a notice that taxes (includh~ interest and penalties) ~/q, Q~ ~~ ~~,~~
have been assessed against the fcltowing-named taxpayer. We have made
a demand for payment of this liability, but h remains unpaid. Therefore,
the
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avor of the United States on all property and rights to
property belonging to this taxpayer for the amount of these taxes, and
additional penakks, interest, and costs that may accrue. J~-~ ~~ C~ ! ^~
Name of Taxpayer BRUCE D & SHERRY D FLEMING
Residence 1502 LOUISA LN
MECHANICSBURG, PA 17050-7281
IMPORTANT RELEASE 11i1FORMATION: 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 6325(a).
Kind of Tax T~ Period
Ending
Identifying Number Date of
Assessment Last Daa~~-- for
Reflling Unpaid Balance
of Assessment
a b c d e
1040 12/31/2001 XXX-XX-9233 06/03/2002 07/03/2012 1527.11
1040 12/31/2002 XXX-XX-9233 06/02/2003 07/02/2013 2392.02
1040 12/31/2003 XXX-XX-9233 05/31/2004 06/30/2014 2097.01
1040 12/31/2004 XXX-XX-9233 06/06/2005 07/06/2015 1795.07
1040 12/31/2005 XXX-XX-9233 05/22/2006 06/21/2016 1662.96
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Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 9474.17
This notice was prepared and signed at
the 25th day of
Signature
DETROIT, MI
December 2008
on this,
for DEBRA K~. HURST
Title
ACS
(800) 829-7650
11-00-0000
~..v~a: ~ertmcate 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
Part 1 -Kept By Recordies Office (ln(c) (Rev. 2-2004)
CAT. NO 60025X