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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 778818311
As provided by section 6321, 6322, and 6323 of the Internal Revenue 31'913 j--7-&
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made r
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a demand for payment of this liability, but it remains unpaid. Therefore, c _
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there is a lien in favor of the United States on all property and rights to rn W =-
property belonging to this taxpayer for the amount of these taxes
and
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additional penalties, interest, and costs that may accrue. nn - ? ran
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Name of Taxpayer STEVIE SMOKER r-- Zn -q-4 C:>
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Residence 60 LESHER RD
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NEWBURG, PA 17240-9371 ,
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
in IRC 6325(a) 1'
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Kind of Tax Tax Period
Ending
Identifying Number Date of
Assessment Last Day for
Refiling Unpaid Balance
of Assessment
(a) (b) (c) (d) (e) M
941 03/31/2009 25-1611458 07/06/2009 08/05/2019 102.36
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $ 102 .3 6
This notice was prepared and signed at DETROIT, MI
the 21st day of April 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)
Part I - Kept By Recording Office Form 668(Y)(c) (Rev. 2-2004)
CAT. NO 60025X