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Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c)
(Rev. February 2004) Notice of Federal Tax Lien 1a _ .o&J35 FTC
Area: Serial Number For Optional Use by Recording Office
WAGE & INVESTMENT AREA #1 11
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Lien Unit Phone: (800) 829-7650 640719410 T
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As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including interest and penalties) A40381
have been assessed against the following-roamed 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 ° _77?
property belonging to this taxpayer for the amount of these taxes, and
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additional penalties, interest, and costs that may accrue.
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Name of Taxpayer DARLENE C WAUGH
Residence 5325 OXFORD DR APT 117
MECHANICSBURG, PA 17055-4433
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 Daar?rr for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Re fling of Assessment
(a) (b) (c) (d) (e)
1040 12/31/2007 XXX-XX-5427 04/15/2008 05/15/2018 3057.41
Place of Filing
Prothonotary
Cumberland County Total $ 3057.41
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI , on this,
the 02nd day of April _ 2010
Signature A Title
,Kr 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