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Form 668 (Y)(c)
(Rev. February 2004)
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien 0 9
71 FT L
A Serial Number For Optional Use by Recording Office
rea:
SMALL BUSINESS/SELF EMPLOYED AREA #2 P?p?
A ??9 Up
Lien Unit Phone: (800) 829-3903 578398009
As provided by section 6321, 6322, and 6323 of the Internal Revenue -74y3
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made „ 2 3 U 9 et l
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.
Name of Taxpayer WILLIAM P DOUGLAS & BILLIE R CARNES
MM
Residence 2127 WALNUT BOTTON RD
CARLISLE, PA 17013 ,
C-
-
; N m
.
NT RELEASE INFORMATION: For each assessment listed below, - .
-ds
'°'
e of the lien is refiled by the date given in column (e), this notice shall,
E
following such date, operate as a certificate of release as defined
5(a).
IRC
Tax Period Date of Last Day for U npaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2006 XXX-XX-1521 02/09/2009 03/11/2019 149015.07
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 149015.07
This notice was prepared and signed at
DETROIT, MI
the 02nd day of September 2009
, on this,
Signature H eQ ACS tle
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 Tax 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