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Department of the Treasury - Internal Revenue Service
Form 668 ( Notice of Federal Tax Lien
(Rev. February 2 2004) 004) 74.1)9- 733; rr'L
A Serial Number For Optional Use by Recording Office
rea:
SMALL BUSINESS/SELF EMPLOYED AREA #2 flq.tr?
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Lien Unit Phone: (800) 913-6050 589834909 7
d,
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including interest and penalties)
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5a s?
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. cc'3 -
Name of Taxpayer CHRISTA L BOYER
W
Residence 102A W MAIN ST
MECHANICSBURG, PA 17055-6229 M
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NT RELEASE INFORMATION: For each assessment listed below,
e of the lien is refiled by the date given in column (e), this notice shall,
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following such date, operate as a certificate of release as defined
IRC
5(a).
Tax Period Date of Last Day f or Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) c) (d) a W
941 06/30/2009 25-1653664 09/28/2009 10/28/2019 2036.85
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $
This notice was prepared and signed at
DETROIT, MI
2036.85
the 14th day of October 2009
, on this,
Signature ? A Title
REVENUE OFFICER 22-06-1418
for JAKOB PEDERSEN (717) 777-9621
(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(lf)(t) (Rev. 2-2004)
paw # : Kprt B!? na<,.?atMq +?a!te r.+',?', ? '? _ _ . .