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09-0646
4660 Department of the Treasury -Internal Revenue Service Form 668 (Y)(c) Notice Of Federal Tax Lien .~ o _ F T ~ (Rav. February 2004) Area: Serial Number For Optional Use by Recording Office SMALL BUSINESS/SELF EMPLOYED AREA #2 ~ ~~/ f ~9• ~`O Lien Unit Phone: (800) 829-3903 512539609 1 As provided by section 6321, 6322, and 6323 of the Internal Revenue Code, we are giving a notice that taxes (including interest and penalties) have been assessed against the following-named taxpayer. We have made 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 property belonging to this taxpayer for the amount of these taxes, and additional penalties, interest, and costs that may accrue. Name of Taxpayer YOLANDA & JAY ROTHENBERGER Residence 217 CENTER ST ENOLA, PA 17025-2606 eh~ a ~ ~ ~~_ ~?~1cs5'~' 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 63251a). Tax Period Date of Last Dayy for Kind of Tax Ending Identifying Number Assessment Raffling 1040 12/31/2003 XXX-XX-6456 ~07/23/2007~ 08/22/2017 Place of Filing ~ rv cr ~; - ~ cxs ~~ ~ ~ ~~ : ~ ~ , rte' c ~ '~ ~'~ _= #-. ~ ~c ut © ~ Unpaid Balance of Assessment 11903.42 Prothonotary Cumberland County Carlisle, PA 17013 Total ~ $ 11903 .42 This notice was prepared and signed at DETROIT, MI the 29th day of January 2009 on this, Signature A 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. 2-2004) Part 1 -Kept iiy Recording Office CAT. NO 60025X