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Department of the Treasury -Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tau Lien
(Rev. February 2004-
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 .525181709
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 folbwing-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.
DETROIT, MI
Name of Taxpayer JOHN J CARDINALE
Residence p0 BOX 3 9
SHERMANS DALE, PA 17090-0039
IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice of the lien is refiled by the date given in column lel, 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 D for unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refi~g of Assessment
(a) (b) (c) (d) (e) ~
1040 12/31/2003 XXX-XX-4511 06/28/2004 07/28/2014
1040 12/31/2003 XXX-XX=4511 08/01/2005 08/31/2015 3802.23
1040 12/31/2004 XXX-XX-4511 05/16/2005 06/15/2015 4150.90
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Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
For Optional Use by Recording Office
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Total ~$ 7953.13
This notice was prepared and signed at
on this,
the 18th day of March 2009
,
Signature H ~ Title
REVENUE OFFICER 22-06-1407
for SEAN DUNLEAVY (717) 777-9626
(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(Y)(t) (Rev. 2-2004)
Part 1 -Kept By Recording Office CAT. NO 60025X