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Form 668 (¥)(c)
(Rev. October 2000)
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #3
Lien Unit Phone: (900) 829-3903 230068669
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are gh, Jng a notice that taxes (including interest and penalties)
have been assessed against the following-named c3xpayer. 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 rmxpayer for the amount of these taxes, and
additional penalties, interest, and costs that may accrue.
Name of Taxpayer TIMONTHY WALSH SCI CAMP HILL
Residence
PO BOX 200
CAMP HILL, PA 17001-0200
I~IPORTANT RELEASE INFOR]~IATION: 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).
For Optional Use by Recording Office
Tax Period
Kind ofTax End~g Identifying Number
(a) (b) (c)
1040 12/31/1994 183-48-1623
1040 12/31/1995 183-48-1623
1040 12/31/1997 183-48-1623
1040 12/31/1998 183-48-1623
1040 12/31/1999 183-48-1623
Date of Last Day for Unpaid Balance
Asse.ment Reflling ~ Asse.ment
(d) (e) (~
06/05/1995 07/05/2005 2833.27
08/04/1997 09/03/2007 3691.09
06/01/1998 07/01/2008 4568.12
05/15/2000 06/14/2010 7510.68
05/29/2000 06/28/2010 109.23
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total
18712.39
This notice was prepared and signed at
PITTSBURGH, PA
, on this,
the 13th day of December 2000
~'~J~ ~- ACS 23-01-0008
for L G DOWD (800) 829-3903
(MOTE: Certificate of officer authorized by )aw to take acknowledgment is not essential to the validity of Notice of Federal Tax lien
Rev. RuL 71-466, 1971 - 2 C.¢. 409)
Form &&8(Y)(¢) (Rev. 10-00)
Parl~ I - Kept By Recording Office
CAT. NO 60025X