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Department of the Treasury - Internal Revenue Service
(Rev. Form 668 February 2 2004) 004)
( Notice of Federal Tax Lien
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 787272611
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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
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 z?
additional penalties, interest, and costs that may accrue. v,r, r o°
Name of Taxpayer GEORGE ENGLEHART r"< "- --Ip
GEORGES AUTO CARE < a?.
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ca
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Residence 109 OLD YORK RD 's,
NEW CUMBERLND, PA 17070-2485 w.r
NT RELEASE INFORMATION: For each assessment listed below,
e of the lien is refiled by the date given in column (e), this notice shall,
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F 57. 7-
following such date, operate as a certificate of release as defined
IRC
5(a). - OZ Sy'9GG
Kind of Tax Tax Period
Ending
Identifying Number Date of
Assessment La st Day for
Reflling Unpaid Balance
of Assessment
(a (b) (c) (d) (e)
940 12/31/2006 16-1623020 04/18/2011 05/18/2021 265.15
941 12/31/2006 16-1623020 04/25/2011 05/25/2021 3224.93
941 03/31/2009 16-1623020 04/25/2011 05/25/2021 1303.90
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 4793.98
This notice was prepared and signed at
DETROIT, MI
the 19th day of May 2011
, on this,
Signature Title
REVENUE OFFICER 22-06-1407
for SEAN DUNLEAVY 4 (717) 777-9626
(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 1 - Kept By Recording Office CAT. 668( (Rev. 2-2004)
CAT. NO 60025X