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Department of the Treasury -Internal Revenue Service
Form 668 (Y)(c)
(Rev. February 2004) Notice Of Federal Tax Lien ,,,~~ ^ q _ r .z r_ ~ ~'r I
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 829-3903
519671909 ,~/
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As Provided by section 6321, 6322, and 6323 of the Internal Revenue C12. 3 3 S~
Code, we are giving a notke that taxes (including interest and penakks)
have been assessed agahllst the following-named taxpayer. We have made ~ ~~ / ~ o ~
a demand for payment of this IiabNity, but it remains unpaid. Therefore,
there is a Ikn in favor of the IJnhed States on all property and rights to
property bebnging to this taxpayer for the amount of these taxes, and ~ o
addhional Penakks, interest, and costs that may accrue. .
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Name of Taxpayer S A SNAVELY r.
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Residence 132 GLENDALE DR ~ c 's: ~=1~-I^'
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MECHANICSBURG, PA 17050-1504 ~'~' ~'
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, of
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 Tax Period
Ending
Identifying Number Date of
Assessment Last Day for
ReAling tlnpaW Balance
of Assessment
(a b c) d e f)
1040 12/31/2001 XXX-XX-6825 04/28/2008 05/28/2018 10113.63
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~ $ 10113 .63
This notice was prepared and signed at
the 24th day of February
Signature
for MICHAEL ~ W . COX
DETROIT, MI
2009
on this,
Title
ACS
(800) 829-3.903
22-00-0008
(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
Part 1 -Kept BY RecoMiea Office (ln(c) (Rev. 2-2004>
CAT. NO 60025X