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Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c)
(Rev. February 2004) Notice of Federal Tax Lien
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOY ED AREA #2
Lien Unit Phone: (8,00) 913-605 0 671678210
As provided by section 6321, 6322, and 6323 of the Internal Revenue ?(? - ??p??o TL
Code, we are giving a notice th at taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made
a demand for payment of this 'ability, but it remains unpaid. Therefore ?;
there is a lien in favor of the ,
Inked States on all property and rights to .
a
property belonging to this ayer for the amount of these taxes, and
additional penahies, interest, nd costs that may accrue. r -
i rn
_
Name of Taxpayer HERBERT S SUMMERHILL cs? -
Residence 717 MARKE T ST APT 331
LEMOYNE, A 17043-1581
IMPORTANT RELEASE INFO ATION: For each assessment list
b
unless notice of the lien is refiled
h D
y the date given in column (e), this no g ,QQ Pit .
on t
e day following such date, operate as a certificate of release a
in IRC 6325(a).
1
fo
?
Kind of Tax Tax Period
Ending
1
entifying Number Date of
Assessment Last Dayy
f
or
Refiling Unpaid Balance
of Assessment
(a) (b) (c) (d) (e) M
1040 12/31/1997 CXX-XX-7550 08/07/2006 09/06/2016 44132.17
1040 12/31/2000 CXX-XX-7550 06/04/2001 07/04/2011
1040 12/31/2000 CXX-XX-7550 07/21/2006 08/20/2016
1040 12/31/2000 CXX-XX-7550 08/03/2006 09/02/2016 1167040.49
Place of Filing
Prothono tary
Cumberla nd County Total $ 1211172.66
Carlisle , PA 17013
This notice was prepared and sign ed at DETROIT, MI on this
,
,
the 25th day of June 2010
Signature A Title
REVENUE OFFICER 22-06-1441
for DENNIS P ZMUDZIN (717) 777-9624
(NOTE: Certificate of officer au-
Rev. Rul. 71-466, 1971 - 2 C.B.
by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien
Part 1 - Kept By Recording Office Form 668(Y)(c) (Rev. 2-2004)
CAT. NO 60025X
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