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11-1333
11883 Department of the Treasury - Internal Revenue Service Form 668 (Y)(c) Notice of Federal Tax Lien (Rev. February 2004) Area: Serial Number WAGE & INVESTMENT AREA #1 Lien Unit Phone: (800) 829-7650 748389211 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 additional penalties, interest, and costs that may accrue. Name of Taxpayer JACQUELINE CORMAN Residence 48 E LOUTHER ST APT 3 CARLISLE, PA 17013-3045 For Optional Use by Recording Office ?L P 1333 -z C r.a C-) `n 3 ---t rnM 2, M j-11- ?- r IMPORTANT RELEASE INFORMATION: For each assessment listed below, J unless notice of the lien is refiled by the date given in column (e), this notice shall, /9 ©???° ?a??2Gug on the day following such date, operate as a certificate of release as defined GG in IRC 6325(a). ;?.<gUI4/ 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 12/31/2004 XXX-XX-1327 04/30/2007 05/30/2017 1040 12/31/2004 XXX-XX-1327 07/27/2009 08/26/2019 63900.35 Place of Filing Prothonotary Cumberland County Carlisle, PA 17013 Total 1$ 63900.35 This notice was prepared and signed at the 28th 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