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Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c)
F Notice of Federal Tax Lien
(Rev.
ebruary 2004)
Area: Serial Number For Optional Use by Recording Office
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (800) 829-76 0 670993810
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1 -???3 r
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice t t taxes (including interest and penalties)
have been assessed against th following-named taxpayer. We have made
a demand for payment of this l iability, but it remains unpaid. Therefore,
there is a lien in favor of the nited States on all property and rights to
property belonging to this to p ayer for the amount of these taxes, and i Y' Y
additional penalties, interest, nd costs that may accrue.
Name of Taxpayer TIMOTHY E BENNETT
`
Residence 324 GISH N !' T
BOILING S RGS, PA 17007-9692
NT RELEASE INFO ATION: For each assessment listed below,
e of the lien is refiled
on y the date given in column (e), this notice shall, j 9.00 pd
the
following such date, operate as a certificate of release as defined
5(a). j0t* .2 1/ 5-3 YA
Tax Period Da te of Last Day for Unpaid Balance
Kind of Tax Ending 1 entifying Number Assessment Reflling of Assessment
(a) b (c (d) (e) M
1040 12/31/2005 -XX-4252 03/02/2009 04/01/2019 29007.20
1040 12/31/2006 -XX-4252 03/02/2009 04/01/2019 34316.29
Place of Filing
Prothono ary
Cumberla d County Total $ 63323.49
Carlisle PA 17013
This notice was prepared and sign d at DETROIT, MI
on this
,
,
the 24th day of June 2010
Signature A Title
ACS 11-00-0000
for DEBRA K. HURST (800) 829-7650
(NOTE: Certificate of officer authori d 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. 4091 i Part I - Kept By Recording Office CAT. 668( (Rev. 220
CAT. NO 60025X
X
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