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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
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 622229310
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
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 EMILY E SMITH
Residence 5683 CREEKVIEW RD
MECHANICSBURG, PA 17050-2025
For Optional Use by Recording Office
10 - 163.S 14??
019.045 ?CL
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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 Da for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2007 XXX-XX-5620 01/04/2010 02/03/2020 636.52
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Place of Filing
Prothonotary
Cumberland. County
Carlisle, PA 17013
DETROIT, MI
Total 1 $
This notice was prepared and signed at
the 01st day of February
636.52
, on this,
2010
Signature RTitle
EVENUE OFFICER 22-06-1407
for SEAN DUNLEAVY (717) 777-9626
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of F-ederai i ax 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