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Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien
(Rev. February 2004) Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 829-3903 785762311
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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 C --n
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 Zm
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property belonging to this taxpayer for the amount of these taxes, and Z;o rn
additional penalties, interest, and costs that may accrue . o ab
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Name of Taxpayer ROBERT W VIERING JR .C® ..0 =-n
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Residence 14 FIELDCREST DR
MECHANICSBURG, PA 17050-7912
IMPORTANT RELEASE INFORMATION: For each assessment listed below,
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unless notice of the lien is refiled by the date given in column (e), this notice shall, /9
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on the day following such date, operate as a certificate of release as defined
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in IRC 6325(a). Ae" a 2.5
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 12/31/2003 XXX-XX-4807 07/31/2006 08/30/2016 153.35.38
1040 12/31/2004 XXX-XX-4807 03/02/2009 04/01/2019 47899.67
1040 12/31/2005 XXX-XX-4807 03/22/2010 04/21/2020 6112.30
1040 12/31/2006 XXX-XX-4807 03/22/2010 04/21/2020 9573.31
1040 12/31/2007 XXX-XX-4807 08/02/2010 09/01/2020 3576.28
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 82296.94
This notice was prepared and signed at DETROIT, MI
the 13th day of May 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