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Department of the Treasury - Internal Revenue Service
Form 668 M(c)
Notice of Federal Tax Lien
(Rev. February 2004)
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #1
Lien Unit Phone: (800) 913-6050 682814410 ?TL
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As provided by section 6321, 6322, and 6323 of the Internal Revenue
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 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 s
additional penalties, interest, and costs that may accrue.
Name of Taxpayer RAYMOND J & JUDITH J DECKERT
Residence 12 STONE SPRING LANE
CAMP HILL, PA 17011
IMPORTANT RELEASE INFORMATION: For each assessment listed below,
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unless notice of the lien is refiled by the date given in column (e), this notice shall,
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on the day following such date, operate as a certificate of release as defined
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5(a).
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Tax Period Date of Last D for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Ref ing of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2007 XXX-XX-2837 10/12/2009 11/11/2019 20141.64
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 20141.64
This notice was prepared and signed at DETROIT, MI
the 27th day of July 2010
, on this,
Signature A CASE PROC MGR 21-00-0018
for DOROTHY OWENS (866) 611-6191
(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)
Part 1 - Kept By Recording Office CAT. 668(lf (Rev. 2 20041
CAT. NO 60025X