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Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c)
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2004
Notice of Federal Tax Lien
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Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2 rl9•?O
Lien Unit Phone: (800) 829-3903 580767309 T?
As provided by section 6321, 6322, and 6323 of the Internal Revenue 0-k Pa 9 9
Code, we are giving a notice that taxes (including Interest and penalties) 3 0V
have been assessed against the following-named taxpayer. We have mad e a
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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.
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Name of Taxpayer THOMAS J & JULIANNE BOWERS III ?.,?:
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Residence 625 PARK AVE ,?.
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NEW CUMBERLND, PA 17070-1725
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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, -c
on the day following such date, operate as a certificate of release as defined
in IRC 6325(a).
Tax Period Date of Last Daar?rr for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Reflli ng of Assessment
a (b) (c d (e f)
1040 12/31/2008 XXX-XX-9959 06/22/2009 07/22/2019 2617.93
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 2617.93
This notice was prepared and signed at
the 11th day of September
DETROIT, MI
2009
, on this,
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 Tax lien
Rev. Rul. 71-466, 1971 - 2 C.B. 409) Part 1 - Kept By Recording Office CAT. 668(ltAT (Rev. 2 20041
CAT. NO 60025X