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Form 668 (Y)(c) Department of the Treasury - Internal Revenue Service
(Rev. February 2004) Notice of Federal Tax Lien
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (8o0) 913-6050 850308612
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 Ac -n ran-'--'
additional penalties, interest, and costs that may accrue. co m0
Name of Taxpayer MISTI L COYLE N
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G ? Sr CJ "'+9
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Residence
1304 CENTER RD )
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CD C-1
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NEWVILLE, PA 17241-8741
NT RELEASE INFORMATION: For each assessment listed below,
e of the lien is refiled by the date given in column (e), this notice shall,
F -ry
2
following such date, operate as a certificate of release as defined
o c;
SL ?/cw- L'
RC
i
n I 5(a).
Kind of Tax Tax Period
Ending
Identifying Number Date of
Assessment Last Dayfor
Refilling Unpaid Balance
of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2003 XXX-XX-5578 11/06/2006 12/06/2016 98888.1-2
1040 1.2/31/2004 XXX-XX-5578 10/23/2006 11/22/2016 79049.69
1040 12/31/2005 XXX-XX-5578 03/09/2009 04/08/2019 125199.93
1040 12/31/2006 XXX-XX-5578 03/09/2009 04/08/2019 278936.25
1040 12/31/2007 XXX-XX-5578 08/29/2011 09/28/2021 351266.34
1040 12/31/2008 XXX-XX-5578 12/20/2010 01/19/2021 4459.16
Place of Filing
Prothonotary
Cumberland County Total $ 937799.49
Carlisle, PA 17013
This notice was prepared and signed at _- DETROIT, MI on this,
the 17th day of February 2012
Signature Title
?'? REVENUE OFFICER 22-06-1408
for MIGNA RODRIGUEZ (717) 777-9622
(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, 971 - 2 C.B. 409)
Form 468( IA'T (Rev. 2
Part 1 - Kept By Recording Office C
CAT. NC t;0029X
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