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Form 668 (Y)(¢)
(Rev. October 2000)
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
Area:
SMALL BUSINESS/SELF EMPLOYED AREA #3
Lien Unit Phone: (412) 395-5265
Serial Number
For Optional Use by Recording Office
As provided by section 632l, 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 liabirit~, 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
additional penalties, interest, and costs that may accrue.
Name of Taxpayer CAROLYN L THOMPSON
Residence
5252 TRINDLE RD
MECHANICSBURG, PA 17055-3522
IIqPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice of the lien is refiled by the date given in column (e), this notice shall,
on the day following such date, operate as a certificate of release as defined
in IRC 6325(a).
Tax Period Date of Last Day for
Kind of Tax Ending Identifying Number Assessment Retiring
(a) (b) (c) (d) (e)
941 09/30/2000 23-2056650 12/18/2000 01/17/2011
Unpaid Balance
of Assessment
(f)
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total
16648.61
This notice was prepared and signed at
PITTSBURGH, PA
, on this,
the 23rd day of March 2001
Signature /" Title
Revenue Officer 23-01-1439
for D. FISHER (717) 221-3490
(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)
Form 668(Y)(c) (Rev. 10-00)
Part I - Kept By Recording Office CAT. NO 60025x