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Department of the Treasury - Internal Revenue Service
Form 666 (Y)(c)
(Rev. February 2004) Notice of Federal Tax Lien
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 829-3903 745022211
As provided by section 6321, 6322, and 6323 of the Internal Revenue
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Code, we are giving a notice that taxes (including interest and penalties) c
have been assessed against the following-named taxpayer. We have made 3 ..i
a demand for payment of this liability, but it remains unpaid. Therefore oo C
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there is a lien in favor of the United States on all property and rights to ter- ca v
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property belonging to this taxpayer for the amount of these taxes, and ° o
additional penalties, Interest, and costs that may accrue. c? _,. m
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Name of Taxpayer GARY L CHRONISTER rs -
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Residence 4989 AMELIAS PATH E -
MECHANICSBURG, PA 17050-8342
IMPORTANT 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
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in IRC 6325(a). asy ?a?
Tax Period Date of Last Dayy for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2006 XXX-XX-7055 12/28/2009 01/27/2020 114281.87
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total I $ 114281.87
This notice was prepared and signed at
the 20th day of January
DETROIT, MI
2011
, on this,
Signature Title
ACS 22-00-0001
for FRED BANKS (800) 829-3903
(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 Form 668(Y)(c) (Rev. 2-2004)
CAT. NO 60025X