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09-7552
4660 Department of the Treasury - Internal Revenue Service Form 668 (Y)(c) Notice of Federal Tax Lien (Rev. February 2004) p j,. 7S 5:2. FT L l Number i S For Optional Use by Recording Office Area: er a SMALL BUSINESS/SELF EMPLOYED AREA #2 592457109 n g ?9 ?? P Lien Unit Phone: (800) 829-3903 . * As provided by section 6321, 6322, and 6323 of the Internal Revenue Cac, Y? g we are giving a notice that taxes (including Interest and penalties) Code , have been assessed against the following-named taxpayer. We have made .Z 3-') R I e 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 ca 4 additional penalties, interest, and costs that may accrue. Name of Taxpayer BRIAN H & LORI J CAREY rn © rn M t' c -< ? N Residence 390 BENYOU LN a• -? a NEW CUMBERLND, PA 17070-3074 ?r : te 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 D for Unpaid Balance Kind of Tax Ending Identifying Number Assessment Refilling of Assessment (a) (b) (c) (d) e) (f) 1040 12/31/2006 XXX-XX-7069 03/16/2009 04/15/2019 1677.06 1040 12/31/2007 XXX-XX-7069 03/16/2009 04/15/2019 6032.34 Place of Filing Prothonotary Cumberland County Carlisle, PA 17013 Total 1$ 7709.40 This notice was prepared and signed at the 22nd day of October DETROIT, MI 2009 , on this, Signature -T? A Title 008 ACS 22-00-0 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(1f)(Q (Rev.4QQ4)