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Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c)
(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: (800) 913-6050 862458512
As provided by section 6321, 6322, and 6323 of the Internal Revenue w? ? S• ? -7Z.
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, C-) r-j
there is a lien in favor of the United States on all property and rights to --t
property belonging to this taxpayer for the amount of these taxes
and rTTW xso? '
,
additional
penalties, interest, and costs that may accrue. ''
Name of Taxpayer BRIAN E NOLL <> v C-D
-
r
Ca
Residence
1468 YORK RD zr.?
C-- CZ)
CARLISLE, PA 17015 N
73
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,
7 ? sz)l'el•
on the day following such date, operate as a certificate of release as defined
in IRC 6325(a).
Kind of Tax Tax Period
Ending
Identifying Number Date of
Assessment
1 Last Day for
Refiling Unpaid Balance
of Assessment
(a) (b) (c) (d) (e) M
6721 12/31/2004 94-3420036 12/24/2007 01/23/2018 8020.17
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 8020.17
This notice was prepared and signed at DETROIT, MI
the 19th day of April 2012
, on this,
Signature ? ?? REVENUE OFFICER 22-06-1441
for DENNIS P ZMUDZIN (717) 777-9624
(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. 2-2004)
CAT. NO 60025X
X