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Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien
(Rev. February 20041 10 O M
Area: Serial Number For Optional Use by Recording Office
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (800) 829-7650
634034010
PD PLh'F
As provided by section 6321, 6322, and 6323 of the Internal Revenue Ck-` 139-68
Code, we are giving a notice that taxes (including interest and penalties) P 4 a,3iq 301
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 a
property belonging to this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs that may accrue.
Name of Taxpayer RUTH C BERNARD PO
w
Residence 904 THORNWOOD LN
CALISLE, PA 17013-4265
NT RELEASE INFORMATION: For each assessment listed below,
e of the lien is refiled by the date given in column (e), this notice shall,
E
following such date, operate as a certificate of release as defined
t
l
RC
5(9-).
Tax Period Date of Last Day f or Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilling of Assessment
(a) (b) (c) (d) (e)
1040 12/31/2005 XXX-XX-7911 03/23/2009 04/22/2019 43064.08
1040 12/31/2006 XXX-XX-7911 03/23/2009 04/22/2019 16867.94
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 59932.02
This notice was prepared and signed at
the 12th day of March
DETROIT, MI
2010
, on this,
Signature ?- A 'Y-k ? 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)
Part 1 - Kept By Recording Office Form 668(Y (Rev. 2-2004)
CAT. NO 60025X
X