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Form 668 (Y)(c)
(Rev. February 2004)
Area: Serial Number
WAGE & INVESTMEi'Uf A.REA #2
Lien Unit Phone: (8o0) 829-7650 184065104
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
additional penalties, interest, and costs that may accrue.
Name of Taxpayer JONATHA/~ K HIESTER
Residence
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
For Optional Use by Recording Office
12 SPRINGVIEW RD
CARLISLE, PA 17013-9460
IMPORTANT RELEASE INFOP-~ATION: 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),
Tax Period Dateof Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Retiring of Assessment
(a) (b) (c) (d) (e) (~
1040 12/31/1996 201-62-6164 09/06/1999 10/06/2009 886.04
1040 12/31/1997 201-62-6164 07/10/2000 08/09/2010 5835.51
1040 12/31/1999 201-62-6164 03/11/2002 04/10/2012 1840.93
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $ 8562.48
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the 29th day of July 2004
ACS 12-00-0000
for Vp)S/LL~'/~) //~' ~'~ (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. aul. 71-466, 1971 - 2 C.B. 409)
Form &68(Y)(c) (Rev. 2-2004)
Part I - ~ept By R~ordJng O~ce CAT. NO 60025X