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Department of the Treasury - Internal Revenue Service
Form 668 ( Notice of Federal Tax Lien
(Rev. February 2 2004) 004)
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 865441612
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
additional penalties, interest, and costs that may accrue.
Name of Taxpayer HARRY D LAUGHMAN
Residence 12 OAK RIDGE RD
CARLISLE, PA 17015-9710
DETROIT, MI
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,ai.SO Pp ?-?
on the day following such date, operate as a certificate of release as defined
in IRC 6325(a). P,* a75 314
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)
6672 06/30/2009 XXX-XX-5588 09/05/2011 10/05/2021 2652.60
6672 09/30/2009 XXX-XX-5588 09/05/2011 10/05/2021 3159.45
6672 12/31/2009 XXX-XX-5588 09/05/2011 10/05/2021 5910.84
6672 09/30/2010 XXX-XX-5588 09/05/2011 10/05/2021 3576.56
6672 12/31/2010 XXX-XX-5588 09/05/2011 10/05/2021 3576.56
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
For Optional Use by Recording Office
IA-.3101 F`rL-
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Total 1 $ 18876.01
This notice was prepared and signed at
the 02nd day of May
, on this,
2012
Signature ? ? Title
` `? REVENUE OFFICER 22-06-1407
for SEAN DUNLEAVY (717) 777-9626
(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