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Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c)
Notice of Federal Tax Lien
II
(Rev. February 2004)
Area: Serial Number For Optional Use by Recording ffice
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 88 111612
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including interest and hies)
have been assessed agahlist the following-named taxpayer. We made
a demand for payment of this liability, but It remains unpaid. refore,
there is a lien in favor of the United States on all property and ghts to
property belonging to this taxpayer for the amount of these es, and c'
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additional penaRies, Interest, and costs that may accrue. MW
Name of Taxpayer ROBERT WAYNE MILLER
SPECIALTY CAKES BY BOB MILLER -0>
Residence
5246 WINDSOR PARK
n
;
-T-
MECHANICSBURG, PA 17055-0000 ?, ?r f
IMPORTANT RELEASE INFORMATION: For each assessment list d below,
unless notice of the lien is refiled by the date given in column (e), this no ice shall,
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POD" ?` y
on the day following such date, operate as a certificate of release a defined ,
in IRC 6325(a). ? oZ 79??
Tax Period Date of Last D for Unpaid nce
Kind of Tax Ending Identifying Number Assessment ReflOng of Assess nt
a) b c) d e
941 09/30/2007 25-1621072 12/24/200 01/23/2018 9 12.29
941 09/30/2008 25-1621072 12/29/200 01/28/2019 10 19.72
941 06/30/2009 25-1621072 11/23/200 12/23/2019 9 70.52
941 12/31/2009 25-1621072 04/12/201 05/12/2020 10 22.81
941 06/30/2010 25-1621072 09/13/201 10/13/2020 2 47.57
941 09/30/2010 25-1621072 12/13/201 01/12/2021 37 16.21
941 12/31/2010 25-1621072 05/09/201 06/08/2021 2 88.12
941 03/31/2011 25-1621072 10/10/201 11/09/2021 06.49
Place of Filing
Prothonotary
Cumberland County Total $ 141 3.73
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI on this,
the 31st day of July 2012
Signature R?Ee E OFFICER 22-0 -1413
for LINDSEY O BOWLIN (717) 777-9623
(NOTE: Certificate of officer authorized by law to take acknowledgment is no essential to the validity of Notice of Federal T 4 x lien
rcev, rcui. i i -ono, s a r i - z t- es. 4uai
Part 1 - Kept By Recording ClIh a Form 66SM(c) (Re . 2-2004)
CAT. NO 60025X