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Department of the Treasury -Internal Revenue Service
Form 668 (Y)(c)
Notice of Federal Tax Lien
(Rev. February 2004
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS%SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 90"?930712 ~~ ~ r~L
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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
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property belonging to this taxpayer for the amount of these taxes, and -~~ ^'
additional penalties, interest, and costs that may accrue. ~crn ~ ~+~~;
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Name of Taxpayer MARK T DEAL r>r'
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Residence
460 OLD YORK RD -~ ~; ~';'-.
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DILLSBURG, PA 1701.9-9687 - ~:
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IMPORTANT RELEASE INFORMATION: f=or each assessment listed below, ~. ^.
unless notice of the lien is refiled by the date given in column (e), this notice shall,
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on the day following such date, operate as a certificate of release as defined '
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in IRC 6325(a;. ~- '~l a ~ ~~~~
Tax Period Date of Last Dayy for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2009 XXX-XX-7:178 10/08/2012 11/07/2022 2603.07
1040 12/31/201() XXX-XX-7'178 10/08/2012 11/07/2022 13943.33
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 16546.40
This notice was prepared and signed at DETROIT, MI
the 29th day of October 2012
on this,
Signature ~''~~~ Title
~ lC--~-~G 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 668(Y)(e) IRev. 2-20041
Part 1 -Kept By Recording Offrce CAT. NO 60025X