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Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien
(Rev. February 2004)
rial Number
S For Optional Use by Recording Office
Area: e
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (800) 829-7650
799705711
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As provided by section 6321, 6322, and 6323 of the Internal Revenue
we are giving a notice that taxes (including interest and penalties)
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have been assessed against the following-named taxpayer. We have made _ j
a demand for payment of this liability, but it remains unpaid. Therefore, -? C_ rn-
there is a lien in favor of the United States on all property and rights to Z n C= n
property belonging to this taxpayer for the amount of these taxes, and ,,r-- r o C70 C?
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additional penalties, interest, and costs that may accrue. I
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Name of Taxpayer MICHAEL W KRUGER
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Residence PO BOX 873 71
MECHANICSBURG, PA 17055-8873
IMPORTANT RELEASE INFORMATION: For each assessment listed below,
notice shall
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unless notice of the lien is refiled by the date given
on the day following such date, operate as a certificate of release as defined ' a `O G
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in IRC 6325(a).
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 12/31/2003 XXX-XX-8205 08/14/2006 09/13/2016 6786.43
1040 12/31/2004 XXX-XX-8205 07/23/2007 08/22/2017 34845.54
1040 12/31/2005 XXX-XX-8205 03/22/2010 04/21/2020 14537.88
1040 - 12/31/2006 XXX-XX-8205 03/22/2010 04/21/2020 18124.90
1040 12/31/2007 XXX-XX-8205 11/08/2010 12/08/2020 4032.59
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
DETROIT, MI
This notice was prepared and signed at
the 12th day of July
Total 1 $ 78327.34
, on this,
2011
Signature t[` ATitle
CS W&I 11-00-0000
for DEBRA K. HURST c (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