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Department of the Treasury - Internal Revenue Service
Form 668 (2)04)
(Rev. February 20041 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 815104411
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 ' '
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a demand for payment of this liability, but it remains unpaid. Therefore, =
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there is a lien in favor of the United States on all property and rights to ? M CCD--) CO -
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property belonging to this to
xpayer for the amount of these taxes, and -i
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additional penalties, interest, and costs that may accrue. ?
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Name of Taxpayer JOAN L GRESS
ZIN ,
Residence 25 BROAD ST
SHIPPENSBURG, PA 17257-9474
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,
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on the day following such date, operate as a certificate of release as defined
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i
n I 6325(a). ?Sr
Tax Period Date of Last D for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Ref li ng of Assessment
(a) (b) (c) (d) (e) M
1040 12/31/2010 XXX-XX-6882 05/30/2011 06/29/2021 423.23
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 423.23
This notice was prepared and signed at
DETROIT, MI
the 15th day of September 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