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Department of the Treasury -Internal Revenue Service
Form 668 (Y)(c) Notice Of Federal Tax Lien
IRev. February 20041 ~i,. ®1 ' ~02- 77 ~ TL'
A Serial Number For optional use by Recording office
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SMALL BUSINESS/SELF EMPLOYED AREA #2 ~/~ ~
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Lien Unit Phone: (800) 829-3903 518918909 Q,
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As provided by section 632 t, 6322, and 6323 of the lnternal Revenue ss ~
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Code, we are giving a notke that taxes (includMg interest and penaltks)
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have been assessed against the folbwiing-named taxpa~rer. We ~ ,z ~ ~
a demand for payment of this liabilky, but k remahu unpaW. Therefore, a ,.-,
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there is a Ikn in favor of the linked States on all property and rights to :
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property belonging to this taxpayer for the amount of these taxes, and ry_
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addkk+nal penakies, interest, and costs that may accrue. ___ , -
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Name of Taxpayer STEVEN J MOTTER r-~ , _
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Residence CME LOT 107 ~ ~'
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NEWVILLE, PA .17241-9487 '
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 6325(a-.
Tax Period Date of Last Daar~rr for tlnpaW Balance
Kind of Tax Ending Identifjring Number Assessment Re lilh>tg of Assessment
a b (c) d e
1040 12/31/2005 XXX-XX-6816 05/29/2006 06/28/2016 2202.96
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 2202.96
This notice was prepared and signed at
the 20th day of February
DETROIT, MI
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(ln(c) IRev. 2-2004)
Part 1 -Kept Bp Recording Office CAT. NO 60025X