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Department of the Treasury - Internal Revenue Service
Form 668 (2)04) Notice of Federal Tau Lien
(Rev. February 2004) 3 9010 fC T`
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 554138509
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 following-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.
ame of I axpayer
Residence 3242 ENOLA RD
CARLISLE, PA 17015-9545
June
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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 Darr for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment g of Assessment
(a b c d (e) M
1040 12/31/2006 XXX-XX-5303 05/11/2009 06/10/2019 681.81
1040 12/31/2007 XXX-XX-5303 05/11/2009 06/10/2019 2273.62
1040 12/31/2008 XXX-XX-5303 05/18/2009 06/17/2019 1292.80
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 4248.23
This notice was prepared and signed at
the 05th day of_
Signature
for SEAN DUNLEAVY
DETROIT, MI
2009
Office
, on this,
Title
REVENUE OFFICER
(717) 777-9626
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22-06-1407
(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 66SM(c) (Rev. 2-2004)
Part 1 - Kent By Recording Office CAT. NO 60025X
For Optional Use by F
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