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Department of the Treasury - Internal Revenue Service
Form 668 ( Notice of Federal Tax Lien
(Rev. February 2 2004) 004) to -a9 s PTL
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 649226910 *l4.0p PO PLF'F
As provided by section 6321, 6322, and 6323 of the Internal Revenue ea 1011.2
Code, we are giving a notice that taxes (including interest and penalties) O A41 „(o
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 c C,
additional penalties, interest, and costs that may accrue. '
Name of Taxpayer ALEX W WOODA:LL '
t
Residence 221 WALNUT ST
CARLISLE, PA 17013-3869
C_ q
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 Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/1998 XXX-XX-3373 04/19/1999 N/A
1040 12/31/1998 XXX-XX-3373 05/07/2001 06/06/2011 6027.16
1040 12/31/2002 XXX-XX-3373 06/06/2005 07/06/2015 4425.52
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
DETROIT, MI
This notice was prepared and signed at
the 27th day of April
Total 1$ 10 4 5 2. 6 8
, on this,
2010
Signature ?Q REVENUE OFFICER 22-06-1418
for JAKOB PEDERSEN (717) 777-9621
(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