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Department of the Treasury - Internal Revenue Service
form 668 ( Notice of Federal Tax Lien
(Rev. February 2 2004) 004)
Area: Serial Number For Optional Use by Recording Oftice
WAGE & INVESTMENT AREA 0Q e?) ?- y
Lien Unit Phone: (800) 829-76 7650 609194709 1p
As provided by section 6321, 6322, and.6323 of the Internal Revenue J
Code, we are giving a notice that taxes (including interest and penalties) $/g•oo
have been assessed against the following-named taxpayer. We have made S ry7?
a demand for payment of this liability, but it remains unpaid. Therefore, e
there is a lien in favor of the United States on all property and rights to
property belonging to this taxpayer for the amount of these taxes, and oZ 3 5S-
additional penalties, interest, and costs that may accrue.
Name of Taxpayer KAREN L & MICHAEL R MUMMA I
HAROLD S IRWIN III ADM
Residence 64 S PITT ST
CARLISLE, PA 17013-3220
114PORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice of the lien is refiled by the date given in column (e), this notice shall,
on the day following such date, operate as a certificate of release as defined
in IRC 6325(a).
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilling of Assessment
(a) (b) (c) (d) (e) M
1040 12/31/2005 XXX-XX-0144 10/15/2007 11/14/2017 11848.80
C
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 11848.80
This notice was prepared and signed at
DETROIT, MI
the 18th day of December 2009
, on this,
Signature A ATitle
11-00-0000
CS
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