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Department of the Treasury -Internal Revenue Service
Form 668 (Y)(c) Notice Of Federal Tax Lien
IRev.February 2004)
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #Z
Lien Unit Phone: (800) 913-6050 912075512 ~~L
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evenue
As provided by section 6321, 6322, and 6323 of the Interna _
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Code, we are giving a notice that taxes (including Mterest and penalties) --- ~'
have been assessed agahllst the following-named taxpayer. We have made °~ ~ +~ - j
a demand for payment of this liability, but it remains ut~-aid. Therefore, ~ ~°~, - ~ ; ~ ~'
there is a lien in favor of the linked States on all property and rights to ~''~' ~ -f~",.-
to r°'
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property bekatnging to this taxpayer for the amount of these taxes, and ,
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addkional penalties, interest, and costs that may accrue. _ -
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Name of Taxpayer B L BRADLEY BUILDING & REMODELING ~ ~-' ~
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Residence 310 TICHY DR -, ~..
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MT HOLLY SPGS, PA 17065-1616
IMPORTANT RELEASE INFORMATION: For each assessment listed below, / ~- .~
unless notice of the lien is refiled by the date given in column (el, this notice shall, ~ f, S~ pc ~ ~~-
on the day following such date, operate as a certificate of release as defined ,~^~
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in IRC 6325(a).
Tax Period Date of Last Day for tlnp~d Balance
Kind of Tax Ending Identifying Number Assessment Refllhtg of Assessment
(a) b (c d e
940 12/31/1999 25-1576192 11/19/2012 12/19/2022. 5764.15
940 12/31/2005 25-1576192 11/19/2012 12/19/2022 362.34
941 06/30/2002 25-1576192 11/12/2012 12/12/2022 13664.14
941 03/31/2005 25-1576192 11/12/2012 12/12/2022 6199.21
941 09/30/2005 25-1576192 11/26/2012 12/26/2022 1526.97
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Place of Filing
Prothonotary
Cumberland County Total $ 27516.81
Carlisle, PA 17013
This notice was prepared and signed at
DETROIT, MI
on th~s,
the 14th day of December 2012
Signature ~~~ REVENUE OFFICER 22 - 06 -1418
for JAKOB PEDERSEN (717) 777-9621
(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. 4091 Form 6613(lf7(e) (Rev. 2-20
Part 1 -Kept sY RecordMg Office CAT. NO 60025