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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 826265011
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
penalties, interest, and costs that may accrue. =rn c r
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Name of Taxpayer KEVIN SHRAWDER ? C7
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Residence PO BOX 503 c
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CARLISLE, PA 17013-0503
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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,
on the day following such date, operate as a certificate of release as defined
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 12/31/2006 XXX-XX-1634 07/28/2008 08/27/2018 11119.28
1040 12/31/2007 XXX-XX-1634 06/30/2008 07/30/2018 1 857.17
1040 12/31/2008 XXX-XX-1634 11/23/2009 12/23/2019 11 417.30
1040 12/31/2009 XXX-XX-1634 11/15/2010 12/15/2020 13742.96
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total J$ 38136.71
This notice was prepared and signed at
the 03rd day of November
2011
DETROIT, MI
, on this,
Signature Title
Zt` 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