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Department of the Treasury -Internal Revenue Serlrice
Form 668 (Y)(c) 111nt~~,a ~ FaA~,~I Tamer 1 iaM
Irtev. h9Druary "1W41 •_••~••••• ••• • "•••r• ••• ^ •••• ••^••^^ . D 9' O~ r Ili 1 L-
Area: Serial Number For O tional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2 l~d rJ ~~9,Q~1
Lien Unit Phone: (800) 913-6050 529373609
As provided by section 6321, 6322, and 6323 of the Internal Revenue Ck.- 3 s ~ ~
Code, we are giving a notice that taxes (hkludh>tg interest and penalties)
have been assessed against the following-named. taxpayer. We have made ~. 1 a 3 a .~ ~
a demand for payment of this liiabilhy, but it remah~s unpaid. Therefore,
there is a Ikn in favor of the united States on all property and rights to
property belonging to this taxpayer for the amount of these taxes, and ~ "O
additional penahies, interest, and costs that may accrue.
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Name of Taxpayer GEORGE STAMBAUGH I ~
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to ~<..,
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Residence
3419 RITNER HWY ~ ~"`~
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NEWVILLE, PA 17241-9460 ~
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, ~~
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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 Da~- for
RefiNng Unpaid Balance
of Assessment
a (b c) (d e
940 12/31/2007 23-1592590 04/28/2008 05/28/201 373.85
943 12/31/2007 23-1592590 03/10/2008 04/09/201
i 10777.05
Place of Filing
Prothonotary
Cumberland County To al $ 11150.90
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI , on this,
the 27th day of March 2009
Signature ~ Title
REVENUE OFFICER 22-06-1418
for JAKOB PEDERSEN (717) 777-9621
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validi of Notice of Federal Tax lien
Rev. Rul. 71-466, 1971 - 2 C.B. 409)
Part 1 -Kept By Racordle8 Office Form 668(n(c) IRev. 2-2004)
CAT. NO 60025X