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Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien
(Rev. February 2004) 7tt , o g- r --
Area: Serial Number For Optional Use by Recording Office
WAGE & INVESTMENT AREA #1 n
4d
Lien Unit Phone: (800) 829-7650 599680809 .
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made 3 y s z,
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 n
property belonging to this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs that may accrue. -?:
CD
Name of Taxpayer SAMUEL A TURPIN
0
Residence
4801 CHARLES RD
MECHANICSBURG, PA 17050-3035
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 Refilling of Assessment
(a) (b) (c) (d) (e) (f)
CIVP 09/30/2006 XXX-XX-8753 06/29/2009 07/29/2019 7220.47
CIVP 12/31/2006 XXX-XX-8753 06/29/2009 07/29/2019 11157.21
CIVP 03/31/2007 XXX-XX-8753 06/29/2009 07/29/2019 12711.33
CIVP 06/30/2007 XXX-XX-8753 06/29/2009 07/29/2019 10003.02
CIVP 03/31/2008 XXX-XX-8753 06/29/2009 07/29/2019 10737.53
CIVP 06/30/2008 XXX-XX-8753 06/29/2009 07/29/2019 10302.95
CIVP 09/30/2008 XXX-XX-8753 06/29/2009 07/29/2019 9593.29
CIVP 12/31/2008 XXX-XX-8753 06/29/2009 07/29/2019 9048.78
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 80774.58
This notice was prepared and signed at
DETROIT, MI
the 18th day of November 2009
, on this,
Signature H Yk.Aj Title
ACS 11-00-0000
for DEBRA K. HURST (800) 829-7650
(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(Y)(c) (Rev. 2-2004)
Part 1 - Kept By Recording Office CAT. NO 60025X