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Department of the Treasury -Internal Revenue Service
Form 668 (Y)(c) Notice Of Federal Tax Lien
(Rev. February 2004)
A Serial Number For Optional Use by Recording Office
rea:
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 829-3903 900583012
As provided by section 6321, 6322, and 6323 of the Internal Revenue ~~- ' ~ (~ ~~ ~ ~~
Code, we are giving a notice that taxes (including interest and penalties) ~ r..,
have been assessed against the following-named taxpayer. We have made ~ .-~
a demand for payment of this liability, but it remains unpaid. Therefore, ~c~o o rn w.,
there is a lien in favor of the United States on all property and rights to z~ -~~ -o~
property belonging to this taxpayer for the amount of these taxes, and ~D w Qo
additional penalties, interest, and costs that may accrue. x
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Name of Taxpayer LAWRENCE C & ETTA A ZIMMERMAN
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Residence 86 DEWALT DR "c ~
MECHANICSBURG, PA 17050-1723
IMPORTANT RELEASE INFORMATION: For each assessment listed below,
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unless notice of the lien is refiled by the date given in column (e), this notice shall, a/• /
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on the day following such date, operate as a certificate of release as defined
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IRC 63251
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Tax Period Date of yy for
Last Da Unpaid Balance
Kind of Tax Ending Identifying Number Assessment ~
Refili ng of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2008 XXX-XX-8926 07/30/2012 08/29/2022 25025.15
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 25025.15
This notice was prepared and signed at DETROIT, MI
the 18th day of October 2012
on this,
Signature /~~~ ACS SBSE 22-00-0001
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)
Part 1 -Kept By Recording Office Form 668(Y)(c) IRev. 2-2004)
CAT. NO 60025X