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Department of the Treasury - Internal Revenue Service
Form 668 ( Notice of Federal Tax Lien
(Rev. February 2 2004) 0041 n
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Serial Number For Optional Use b Recording Office
Area:
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (800) 829-7650
548137209 f??v4
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As provided by section 6321, 6322, and 6323 of the Internal Revenue Cl 3 7 r3'
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made
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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 N
additional penalties, interest, and costs that may accrue. -' -
Name of Taxpayer RICHARD B STAMBAUGH _. r. :I
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Residence
PO BOX 47 i
SUMMERDALE, PA 17093-0047 f
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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 Day for paid Balance
Kind of Tax Ending Identifying Number Assessment Refiling Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2001 XXX-XX-3113 07/30/2007 08/29/2017 10961.08
1040 12/31/2002 XXX-XX-3113 07/30/2007 08/29/2017
I 20119.38
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Place of Filing
Prothonotary
Cumberland County Total $ 31080.46
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI on this,
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the 14th day of May 2009
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Signature ATitle
CS
11-00-0000
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for DEBRA K. HURST (800) 829-7650
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notic of Federal Tax lien
Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 6 #8(Y)(e) (Rev. 2-2004)
Part 1 - Kent By Recording Office i CAT. NO 60025X