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Department of the Treasury - Internal Revenue Service
Form 668 (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 765694911
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 -wry
property belonging to this taxpayer for the amount of these taxes, and -03 = --E
additional penalties, Interest, and costs that may accrue. =m ?? ryl-
z= "r-
Name of Taxpayer WILLIE D & PRECIOUS CAROTHERS tnl"' , "Vin
Residence 620 N EAST ST =C)
CARLISLE, PA 17013-2011
IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice of the lien is refilled by the date given in column (e), this notice shall,
on the day following such date, operate as a certificate of release as defined D
in IRC 6325(a). 4 9?
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2006 XXX-XX-5286 08/31/2009 09/30/2019 10560.86
1040 12/31/2007 XXX-XX-5286 09/20/2010 10/20/ 2020 15486.51
1040 12/31/2008 XXX-XX-5286 05/17/2010 06/16/2020 8336.70
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 34384.07
This notice was prepared and signed at
DETROIT, MI
the 15th day of March 2011
, on this,
Signature Title
ACS SBSE 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) Form 668(Y)(c) (Rev. 2-2004)
Part 1 -Kept By Recording Office CAT. NO 60025X