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Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien
(Rev. February 2004)
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S For Optional Use by Recording Office
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SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050
884479412
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As provided by section 6321, 6322, and 6323 of the Internal Revenue y
Code, we are ghrhtg 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 r~?
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property belonging to this taxpayer for the amount of these taxes, and ?
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additional penalties, interest, and costs that may accrue. T
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Name of Taxpayer SEAN M & RENEE M REGAL w
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Residence 607 BRIDGE ST APT B xG
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NEW CUMBERLAND, PA 17070
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NT RELEASE INFORMATION: For each assessment listed below,
e of the lien is refiled by the date given in column (e), this notice shall,
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following such date, operate as a certificate of release as defined
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Tax Period D ate of Last D for Unpaid Bal ance
Kind of Tax Ending Identifying Number Assessment Refing of Assessm ent
(a b (c) d e (f)
1040 12/31/2009 XXX-XX-6810 12/06/2010 01/05/2021 53 00.35
Place of Filing
Prothonotary
Cumberland County Total $ 530 0.35
Carlisle, PA 17013
DETROIT, MI
This notice was prepared and signed at
on this,
the 26th day of July 2012
Signature Title
ACS SBSE
22-0
-0008
for G.J. CARTER-LOUIS (800) 829-3903
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the valioity or Notice or reaerai I x 11VII
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