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Department of the Treasury - Internal Revenue Service
Form 668 (2004) Notice of Federal Tax Lien
` F 7-1
(Rev. February 20041 P
/- F,7 59
Serial Number For Optional Use by Recording Office
Area:
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 829-3903 600672009
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including interest and penalties) n
2 3 y L /
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.
Name of Taxpayer MELVIN V VANMETER JR ?
Residence 1218 CLEARFIELD RD 1'17-1
0
SHIPPENSBURG, PA 17257
IMPORTANT RELEASE INFORMATION: For each assessment listed below, -_ -+w
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 -? 4
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)
2290 07/01/2003 25-1811220 09/15/2003 10/15/2013 554.38
2290 07/01/2006 25-1811220 12/18/2006 01/17/2017 184.52
940 12/31/2006 25-1811220 05/05/2008 06/04/2018 264.94
941 03/31/2003 25-1811220 03/01/2004 03/31/2014 626.77
941 06/30/2003 25-1811220 06/14/2004 07/14/2014 543.39
941 09/30/2003 25-1811220 08/16/2004 09/15/2014 704.64
941 12/31/2003 25-1811220 08/16/2004 09/15/2014 1007.79
941 12/31/2004 25-1811220 02/26/2007 03/28/2017 1819.74
941 09/30/2006 25-1811220 02/26/2007 03/28/2017 266.87
941 12/31/2006 25-1811220 03/31/2008 04/30/2018 7780.58
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 13753.62
This notice was prepared and signed at
the 20th day of November
DETROIT, MI
2009
, on this,
Signature ,K? A -Y L Title
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( (Rev. 2-2004)
CAT. NO 60025X
X