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Form 668 (Y)(c) Department of the Treasury - Internal Revenue Service
(Rev. February 2004) Notice of Federal Tax Lien In_ R17_;[. A".11-Gartu
Area: Serial Number For Optional Use by Recording Office
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (800) 829-7650
873557212 a-90 PO P IvF?
As provided by section 6321, 6322, and 6323 of the Internal Revenue ET
Code, we are giving a notice that taxes (including interest and penalties) P-# 611W5
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. - r
Name of Taxpayer STANLEY J FISHER
Residence 203 WOODS DR
MECHANICSBURG, PA 17050-2635
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
in IRC 6325(a).
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 12/31/2007 XXX-XX-4651 12/06/2010 01/05/2021 4272.17
1040 12/31/2008 XXX-XX-4651 03/07/2011 04/06/2021 31042.23
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ($ 35314.40
This notice was prepared and signed at
DETROIT, MI
the 08th day of June 2012
, on this,
Signature /' ;??? ACS W&I 11-00-0000
for DEBRA K. HURST (800) 829-7650
(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 Form 668(Y)(c) (Rev. 2-2004)
CAT. NO 60025X