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Department of the Treasury - Internal Revenue Service
Form 668 ( Notice of Federal Tax Lien
(Rev. February 2 2004) 0041 jo - aq5 l..
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 829-3903 649195110 -'Hq.M PO PLFF
As provided by section 6321, 6322, and 6323 of the Internal Revenue CO ID Ila
Code, we are giving a notice that taxes (including interest and penalties) a4 l 5
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 cam;
additional penalties, interest, and costs that may accrue. r?=7
Name of Taxpayer RAJA SEELAM '-'
Residence 305 GEORGETOWN RD
MECHANICSBURG, PA 17050-1828 -°
C; 'F
=C6 ELEASE INFORMATION: For each assessment listed below,'
e lien is refiled by the date given in column (e), this notice shall,
ing such date, operate as a certificate of release as defined
ion I Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2008 XXX-XX-2753 09/28/2009 10/28/2019 21085.64
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 21085.64
This notice was prepared and signed at DETROIT, MI
the 27th day of April 2010
, on this,
Signature
11? A ACtle
S 22-00-0008
for MICHAEL W. COX (800) 829-3903
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the vaiioity or rvotice of reuerai ax imi1
Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 666(Y)(e) (Rev. 2-2004)
Part I - Kept By Recording Office CAT. NO 60025X