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Department of the Treasury -Internal Revenue Service
Form 668 (Y)(c) NOtiCe of Federal Tax Lien
IRev. February 20041
Serial Number For Optional Use by Recording Office
Area:
WAGE & INVESTMENT AREA #1
Lien Unit Phone: {800) 829-7650
920033513
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As provided by section 6321, 6322, and 6323 of the Internal Revenue ~ ~~'
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Code, we are giving a notice that taxes (including interest and penalties) _
have been assessed agahut the following-named taxpayer. We have made ~'~ ^~ =~ ~~
a demand for payment of this IiabHity, but it remains unpaid. Therefore, --$
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there is a lien in favor of the lJnited States on all property and rights to rn~ ~ ~1 ~
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property bebnging to this taxpayer for the amount ~' these taxes, and ~.= r ~
additional penaltks, interest, and costs that may accrue. ~ ~ ~ ~ ~'
Name of Taxpayer ROBERT M BULLEY ~ ~ '?
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Residence 40 LONGWOOD DR ~- ~ ~ _
MECHANICSBURG, PA 17050-7969 _
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IMPORTANT RELEASE lNfORMATION: For each assessment listed below,
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unless notice of the lien is refiled by the date given in column le), t ~ /,S ~
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on the day following such date, operate as a certificate of release as defined
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5(a).
in IRC 63 }-
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Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b c) d) (e
1040 12/31/2001 XXX-XX-5436 08/31/2009 09/30/2019 2014.73
1040 12/31/2002 XXX-XX-5436 09/07/2009 10/07/2019 3078.06
1040 12/31/2003 XXX-XX-5436 09/28/2009 10/28/2019 277.70
1040 12/31/2004 XXX-XX-5436 10/05/2009 11/04/2019 2731.80
1040 12/31/2005 XXX-XX-5436 05/29/2006 06/28/2016
1040 12/31/2005 XXX-XX-5436 03/24/2008 04/23/2018 2555.24
1040 12/31/2006 XXX-XX-5436 03/15/2010 04/14/2020
1040 12/31/2006 XXX-XX-5436 06/13/2011 07/13/2021 4031.13
1040 12/31/2007 XXX-XX-5436 08/10/2009 09/09/2019 2387.92
1040 12/31/2008 XXX-XX-5436 08/10/2009 09/09/2019 2159.03
1040 12/31/2009 XXX-XX-5436 05/31/2010 06/30/2020 1780.09
1040 12/31/2010 XXX-XX-5436 10/29/2012 11/28/2022 1590.02
1040 12/31/2011 XXX-XX-5436 10/29/2012 11/28/2022 569.27
Place of Filing
Prothonotary
Cumberland County Total $ 23174.99
Carlisle, PA 17013
This notice was prepared and signed at
the 01st day of February
DETROIT, MI
2013
on this,
Signature /' ~~1
for DEBRA K. HURST
Title
ACS W&I
(800) 829-7650
11-00-0000
(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)(c) IRev. 2-2004)
Part 1 -Kept By Recording OPiice CAT. NO 60025X