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Department of the Treasury - Internal Revenue Service
Form 668 {Y)c)
(Rev. February 20044) Notice of Federal Tax Lien
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 899625212
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.
me of Iaxpayer 'I'IGER BUSINESS
Residence 4915 GETTYSBURG RD
MECHANICSBURG, PA 17055
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Lin MPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice of the lien is refiled by the date given in column (e), this notice shall, / j
n the day following such date, operate as a certificate of release as defined a/• ?r/? ,? /°Gr
IRC 6325(a).? Sra>S-?
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (i7
941 06/30/2012 20-1081360 10/01/2012 10/31/2022 12817.99
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
For Optional Use by Recording Office
is '&57f Total 1$ 12817.99
This notice was prepared and signed at DETROIT, MI
the 15th day of October 2012
, on this,
Signature Title
REVENUE OFFICER 22-06-1413
for LINDSEY O BOWLIN (717) 777-9623
(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 6681(Y)(c) (Rev. 2-2004)
Part I -Kept By Recording Office CAT. NO 60025X