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Department of the Treasury -Internal Revenue Service
Form 668 (Y)(c)
IRev. February 2004) Notice Of Federal Tax Lien
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 829-3903 908910612
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y section 6321, 6322, and 6323 of the Internal Revenue
Code, we are givh~g a notice that taxes (including interest and penakies)
have been assesssd alr~inst the following-named taxpayer. We have made ~ ;
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a demand for
payment of this liabilky, but it remains unpaid. Therefore ~ '"'~'
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there is a lien in favor of the linked States on all property and rights to -~
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Property belonging to this taxpayer for the amount of these taxes, and , ~ ~
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addkional penakies, interest, and costs that may accrue. t ~' --'``'-+ c~
Name of Taxpayer NATHANIEL F MCDONALD rCG' ~"' ~"*{
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Residence 540 ICHABOD CT ~_ ~ f_
MECHANICSBURG, PA 17050-2598
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,
on th
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ay
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ng such date, operate as a certificate of release as defined
in IRC 6325(a). ~ -~~.3~~
Kind of Tax Tax Period
Ending
Ide~rtifying Number
DAssas ent pay
~Refidn~~
~Asxsst
a b) c) d e)
1040 12/31/2006 XXX-XX-7155 04/04/2011 05/04/2021 14030.10
1040 12/31/2007 XXX-XX-7155 04/04/2011 05/04/2021 15462.47
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 29492.57
This notice was prepared and signed at DETROIT, MI
the 3 0th day of November. 2 012
on this,
Signature /~~~~ Title
` ~~-~ ACS SBSE 22-00-0001
for P.A. BECTON (800) 829-3903
(~V~e: t;ertiticate 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 t - Ktpt SY Recordln~ Ofnce Form 6613(lf)(c) (Rev. 2-20041
CAT. NO 60025X