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Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c)
(Rev. February 20041 Notice of Federal Tax Lien
Area: Serial Number For Optional Use by Recording Office
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (800) 829-7650
747169911 f'
11-1311"7 /? 7-L
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, C)
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. r
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Name of Taxpayer PAUL M & AMANDA J KEEFER ?
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Residence
210 N 32ND ST
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CAMP HILL, PA 17011-2810
RTANT RELEASE INFORMATION: For each assessment listed below,
notice of the lien is refiled by the date given in column (e), this notice shall,
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e day following such date, operate as a certificate of release as defined
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6325(a).
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Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2005 XXX-XX-8684 06/22/2009 07/22/2019 366.51
1040 12/31/2006 XXX-XX-8684 05/28/2007 06/27/2017 112.97
1040 12/31/2007 XXX-XX-8684 08/18/2008 09/17/2018 9948.31
1040 12/31/2008 XXX-XX-8684 06/01/2009 0.7/01/2019 15354.26
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 25782.05
This notice was prepared and signed at
the 26th day of January
DETROIT, MI
2011
, on this,
Signature Title
ACS W&I 11-00-0000
for DEBRA K. HURST (800) 829-7650
(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. 2-2004)
Part 1 -Kept By Recording Office CAT. NO 60025X