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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 926295413
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 C7-
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
property belonging to this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs that may accrue. 4 C°
—.�_
Name of Taxpayer CAROL C TUCKER
_r co
Residence :237 W LOCUST AVE
CARLISLE, PA 17013 -2313
Fthe NT RELEASE INFORMATION: For each assessment listed below,
e of the lien is refiled by the date given in column (e), this notice shall,
following such date, operate as a certificate of release as defined _
5(a). let '5 / 5 �3
Tax Perio d Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) M
1040 12/31/2009 XXX -XX -2574 04/05/2010 05/05/2020
1040 12/31/2009 XXX -XX -2574 04/15/2010 05/15/2020
1040 12/31/2009 XXX -XX -2574 02/06/2012 03/08/2022 181085.02
Place of Filing
Prothonotary
Cumberland County Total $ 181085.02
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI _ on this,
the 07th day of March 2013
Signature Title
REVENUE OFFICER 22 -06 -1408
for MIGNA RODRIGUEZ (717) 777 -9622
(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) (Rev. 2 -2004)
Part 1 - Kept By Recording Office CAT. NO 60025X