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Department of the Treasury - Internal Revenue Service
Form 66ar (Y)(c) Notice of Federal Tax Lien
(Rev. February 2004) 3,5' Ft L
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #5
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'04
Lien Unit Phone: (800) 913-6050 580656609 . ,
As provided by section 6321, 6322, and 6323 of the Internal Revenue p09 4
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made 3 0
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 c
property belonging to this taxpayer for the amount of these taxes, and -T, , C„ --- 4
additional penalties, interest, and costs that may accrue.
Name of Taxpayer WAYNE A KLAWITTER & KAREN L BAKER n
Residence PO BOX 855 'ern
MECHANICSBURG, PA 17055 -
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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 Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) d) (e (f)
1040 12/31/2007 XXX-XX-8704 11/03/2008 12/03/2018 22294.85
1040 12/31/2008 XXX-XX-8704 07/06/2009 08/05/2019 52950.77
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 75245.62
This notice was prepared and signed at
DETROIT, MI
the 10th day of September 2009
, on this,
Signature R ?Yyi? Title
REVENUE OFFICER 25-15-3204.
for W.J.HOWARD (334) 290-4016
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien
Rev. Rut. 71-466,1971 - 2 C.B. 409)
Part 1 - Kept By Recording Office CAT. 668( (Rev. 2-2004)
CAT. NO 60025X
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