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Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c)
(Rev. February 2004) Notice of Federal Tax Lien
Area: Serial Number For Optional Use by Recording Office
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (800) 829-7650
620051010 ?-r-
10 -- 11-1- ?
As provided by section 6321, 6322, and 6323 of the Internal Revenue f19. 6-Y-5 ?C
Code, we are giving a notice that taxes (including interest and penalties) ,
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 2
additional penalties, interest, and costs that may accrue.
Name of Taxpayer JOANNE JOHNSON STORER & JOHN STORER
Residence 150 ERFORD RD
CAMP HILL, PA 17011-1807
PORTANT RELEASE INFORMATION: For each assessment listed below,
ss notice of the lien is refiled by the date given in column (e), this notice shall,
F
he day following such date, operate as a certificate of release as defined
o
in
RC 6325(a) .
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) M
1040 12/31/2006 XXX-XX-3785 03/30/2008 04/29/2018 1756.98
1040 12/31/2008 XXX-XX-3785 05/25/2009 06/24/2019 277.21
N
C-Z)
'I
GJ -`
Place of Filing
Prothonotary
Cumberland County Total $ 2034.19
Carlisle, PA 17013
This notice was prepared and signed at
the _ 26th day of January
DETROIT, MI
2010
, on this,
Signature Yk't'? 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