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Department of the Treasury - Internal Revenue Service
Form 668 MW Notice of Federal Tax Lien
(Rev. February 2004)
Serial Number For Optional Use by Recording Office
Area:
SMALL BUSINESS SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 829-3903 848926812
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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) n N -
have been assessed against the following-named taxpayer. We have made c ~t
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a demand for payment of this liability, but it remains unpaid. Therefore, A
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there is a lien in favor of the United States on all property and rights to o? 'o?
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property belonging to this taxpayer for the amount of these taxes, and i"- --
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additional penalties, interest, and costs that may accrue. r
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Name of Taxpayer SHAWN M YEAGER ?Cn
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Residence 15 LEEDS RD x co
NEWVILLE, PA 17241-9547
IMPORTANT RELEASE INFORMATION: For each assessment listed below,
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unless notice of the lien is refiled by the date given in column (e), this notice shall, eJ
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on the day following such date, operate as a certificate of release as defined
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 12/31/2007 XXX-XX-2284 12/13/2010 01/12/2021 20764.75
1040 12/31/2008 XXX-XX-2284 03/07/2011 04/06/2021 25023.05
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 45787.80
This notice was prepared and signed at
the 10th day of
DETROIT, MI
February 2012
, 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)
Part 1 - Kept By Recording Office CAT. 668( (Rev. 2 20041
CAT. NO 60025X