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Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien 4
(Rev. February 2004) ? - sill FTL
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2ia 00
Lien Unit Phone: (800) 829-3903 566626709 PLF r PD
As provided by section 6321, 6322, and 6323 of the Internal Revenue W (o&& I
Code, we are giving a notice that taxes (including interest and penalties) 2T* 01ou5A Ill
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. - i, -41
C=
Name of Taxpayer DANIEL NAPOLETANO ;- r- '-
r
Residence ZN•
103 LOUISA LN r.
MECHANICSBURG, PA 17050-7291
IMPORTANT RELEASE INFORMATION: For each assessment listed below, r`r=
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 Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilling of Assessment
(a) (b) (c) (d) (e) M
1040 12/31/2006 XXX-XX-1568 02/09/2009 03/11/2019 5482.24
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 5482.24
This notice was prepared and signed at DETROIT, MI
, on this,
the 21st day of July 2009
Signature A ACS 22-00-0008
for MICHAEL W. COX (800) 829-3903
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal I ax lien
Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 668(Y)(c) (Rev. 2-2004)
Part 1 - Kept By Recording Office CAT. NO 60025X