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Department of the Treasury -Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien
IRev. February 2004)
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Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 829-3903 895015812
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including interest and penaltks)
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 Ikn 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 penakks, interest, and costs that may accrue.
Name of Taxpayer LAWRENCE C & ETTA A ZIMMERMAN
Residence 86 DEWALT DR
MECHANICSBURG, PA 17050-1723
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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, o'~~~~/a~(` ~'
on the day following such date, operate as a certificate of release as defined /~~ ~~/ ~~
in IRC 6325(a).
Tax Period Date of Last Daayy for unpaid Balance
Kind of Tax Ending Identifying Number Assessment ReA1Mg of Assessment
(a) (b) (c) d (e
1040 12/31/2006 XXX-XX-8926 06/04/2007 07/04/2017 10643.05
1040 12/31/2009 XXX-XX-8926 05/24/2010 06/23/2020 11125.92
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
DETROIT, MI
This notice was prepared and signed at
For
Use by Recording Office
1a - ~llC ~ ~L.
Total ~$ 21768.97
on this,
the 20th day of September 2012
Signature /'~-~~~ Title 22-00-0001
~ ~ ACS SBSE
for P.A. BECTON (800) 829-3903
(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 Bt- Recording Office CAT. NO 60025X