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Department of the Treasury -Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien
IRev. February 20041
Area: Serial Number For Optional Use by Recording Office y_
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 911513712 ,
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AS provided by section 6321, 6322, and 6323 Of the lirternal RevMUe ,
Code, we are giving a notice that taxes (including interest and penaltks) j
have been assessed against the folbwing-named taxpayer. We have made
a demand for payment of this liability, but it remains unpaid. Therefore, _
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there is a Ikn in favor of the United States on all property and rights to ~ ~
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property bebnging to this taxpayer for the amount of these taxes, anti -r ~ '`'' ~: -
additional penalties, interest, and costs that may accrue. ~ ~ ° '~' ' w~=
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Name of Taxpayer BIMAL & SONAL B PATEL ~~ ~ c~ ";'
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Residence 13 3 0 ARMITAGE WAY ~° c-,
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MECHANICSBURG, PA 17050-6403 ~'r-~':
1MPORTAt~T RELEASE INFORMATION: For each assessment listed below, i
unless notice of the lien is refiled by the date given in column (e), this notice shall, -7;
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on the day following such date, operate as a certificate of release as defined ;~/~.5 ~ f '
in IRC 6325(a). ~ ~f' ~~y53~ ~
Tax Period Date of Last for lJnpaid Balance
Kind of Tax Ending Identifying Number Assessment of Assessment
(a) (b) (c (d e
1040 12/31/2005 XXX-XX-3285 02/18/2008 03/20/2018 684.11
1040 12/31/2009 XXX-XX-3285 04/15/2010 05/15/2020
1040 12/31/2009 XXX-XX-3285 11/08/2010 12/08/2020
1040 12/31/2009 XXX-XX-3285 04/16/2012 05/16/2022 202916.41
1040 12/31/2010 XXX-XX-3285 11/21/2011 12/21/2021 18482.68
1040 12/31/2011 XXX-XX-3285 11/19/2012 12/19/2022 19652.56
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Place of Filing
Prothonotary
Cumberland County Tota{ $ 2 417 3 5. 7 6
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI
on this,
the 12th day of December 2012
Signature /"~~1 RE
C~~ VENUE OFFICER 22 - 06 -1818
for ERIK J EBERZ (717) 207-4344
(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 t -Kept SY Recording Office Form 668(Y)(c) IRev. 2-20041
CAT. NQ 60025X