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11883
Form 668 (Y)(c) Department of the Treasury - Internal Revenue Servi ce
(Rev. February 2004) Notice of Federal Tax Lien
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLO ED AREA #2
Lien Unit Phone: (800) 913-605 0 670531810
As provided by section 6321, 6322, and 6323 of the Internal Revenue
!? ?T
Code, we are giving a notice t t taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made
a demand for payment of this lability, but it remains unpaid. Therefore, N
there
there is a lien in favor of the nited States on all property and rights to C -
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property belonging to this tax payer for the amount of these taxes, and ;-, D_ C-
additional penalties, interest, a nd costs that may accrue. = r
'
-
Name of Taxpayer KEVIN E B
WEN ,
--- =
Residence 502 POP AVE
NEW CUMBE LAND, PA 17070
IMPORTANT RELEASE INFO
l ATION: For each assessment listed below, ?q 0O Lclec e-oK,eall
7Y--&m4
un
ess notice of the lien is ref iled y the date given in column (e), this notice shall, y
on the day following such date,
in IRC 6325(a). operate as a certificate of release as defined
Kind of Tax Tax Period
Ending
I
il?
entifying Number Date of
Assessment Last Day for
Refiling Unpaid Balance
of Assessment
(a) (b) (c) (d) (e) (f)
6672 09/30/2006 CXX-XX-5461 07/13/2009 08/12/2019 5149.67
6672 12/31/2006 CXX-XX-5461 07/13/2009 08/12/2019 10125.90
6672 03/31/2007 CXX-XX-5461 07/13/2009 08/12/2019 4806
33
6672 06/30/2007 LXX-XX-5461 07/13/2009 08/12/2019 .
4974.32
6672 09/30/2007 -XX-5461 07/13/2009 08/12/2019 10155
36
6672 12/31/2007 -XX-5461 07/13/2009 08/12/2019 .
5303.14
6672 09/30/2008 KXX-XX-5461 07/13/2009 08/12/2019 4058.80
Place of Filing
Prothono tary
Cumberla d County Total $ 44573.52
Carlisle , PA 17013
This notice was prepared and sign ed at DETROIT, MI on this
,
,
the 23rd day of June
-- 2010
)? Signature fi Title
REVENUE OFFICER 22-06-1842
for DAVID M SHROYER (717) 757-2320 x1320
(NOTE: Certificate of officer author zed 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. 40) Form 668(Y)(c) (Rev. 2-2004)
Part 1 -Kept By Recording Office CAT. NO 60025X
trrrzf.