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Form 668 (Y)(c)
(Rev. February 2001.)
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
?L. v9 I Y3? F'T L
Area: Serial Number For Optional Use y Recording Office
WAGE & INVESTMENT AREA #1 n
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Lien Unit Phone: (800) 829-7650
548153709 ?
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As provided by section 6321, 6322, and 6323 of the Internal Revenue Ck 3.7 ,S'
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made a SL 4
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 c{ ' ?
additional penalties, interest, and costs that may accrue.
Name of Taxpayer JAE H CHUNG '==
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Residence 1800 EL I ZA WAY
MECHANICSBURG, PA 17050-1683 ti
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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
o
i
n I 6325(a).
Tax Period Date of Last Day for hpalid Balance
Kind of Tax Ending Identifying Number Assessment Refiling il Assessment
(a) (b) (c) (d) (e) , ?
(f)
CIVP 12/31/2004 XXX-XX-6115 06/30/2008 07/30/2018 ! 2692.30
CIVP 03/31/2005 XXX-XX-6115 06/30/2008 07/30/2018 1761.50
CIVP 06/30/2005 XXX-XX-6115 06/30/2008 07/30/2018 1002.70
CIVP 09/30/2005 XXX-XX-6115 06/30/2008 07/30/2018 3453.75
CIVP 12/31/2005 XXX-XX-6115 06/30/2008 07/30/2018 3453.75
CIVP 03/31/2006 XXX-XX-6115 06/30/2008 07/30/2018 3453.75
CIVP 06/30/2006 XXX-XX-6115 06/30/2008 07/30/2018 3453.75
CIVP 09/30/2006 XXX-XX-6115 06/30/2008 07/30/2018 3453.75
CIVP 12/31/2006 XXX-XX-6115 06/30/2008 07/30/2018 ; j 3453.75
CIVP 03/31/2007 XXX-XX-6115 06/30/2008 07/30/2018 3453.75
CIVP 06/30/2007 XXX-XX-6115 06/30/2008 07/30/2018 3453.75
CIVP 09/30/2007 XXX-XX-6115 06/30/2008 07/30/2018 3453.75
Place of Filing
Prothonotary
Cumberland County Total $ 36540.25
Carlisle, PA 17013
i
This notice was prepared and signed at DETROIT, MI
on this,
the 14th day of May 2009
Signature Title
ACS 11-00-0000
for DEBRA K. HURST (800) 829-7650
(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 66$(Y)(t) (Rev. 2-2004)
Part 1 - Kent By Recordina Office T -