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Form 668 (Y)(c) Department of the Treasury - Internal Revenue Service
(Rev. February 2004) Notice of Federal Tax Lien ? o, 10- 304 FTC
Area: Serial Number For Optional Use by Recording Office
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (800) 829-7650
663588710
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As provided by section 6321, 6322 and 6323 of the Internal Revenue c_-
film
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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 liabNky, but It remains unpaid. Therefore,
there Is a ten 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 FRANK FALCO
Residence 308 RENO STREET 1 A
NEW CUMBERLND, PA 17070-1821
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TANT RELEASE INFORMATION: For each assessment listed below, aE k 1463
otice of the lien is refiled by the date given in column (e), this notice shall,
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day following such date, operate as a certificate of release as defined
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325(a). y3
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Kind of Tax Tax Period
Ending
Identifying Number D ate of
Assessment Last Day for
Ruing Unpaid Balance
of Assessment
(a b (c d e (f)
1040 12/31/1999 XXX-XX-5912 09/22/2003 10/22/2013 9344.71
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 9344.71
This notice was prepared and signed at
the 04th day of June
Signature
for DEBRA K. HURST
, on this,
Title
ACS
(800) 829-7650
11-00-0000
DETROIT, MI
2010
(NVYL: Certificate of officer authorized bylaw 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 PAcordh* Office CAT. NO 60025X