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Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c)
(Rev. February 2004; Notice of Federal Tax Lien
Area: Serial Number For Optional Use by Recording Office
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (800) 829 -7650 927587613
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
a demand for payment of this liability, but it remains unpaid. Therefore, r
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.
Name of Taxpayer TRACY L FURJANIC <__ cn
Residence 5 CRESCENT DR
NEW CUMBERLND, PA 17070 -2702
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 the day following such date, operate as a certificate of release as defined
in IRC 6325(a).
Tax Period Date of Last Da Unpaid for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Reding of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2004 XXX -XX -8414 12/22/2008 01/21/2019 5159.53
1040 12/31/2005 XXX -XX -8414 12/22/2008 01/21/2019 5586.51
1040 12/31/2006 XXX -XX -8414 05/17/2010 06/16/2020 5774.33
1040 12/31/2007 XXX -XX -8414 12/20/2010 01/19/2021 5399.29
1040 12/31/2009 XXX -XX -8414 11/12/2012 12/12/2022 5279.18
Place of Filing
Prothonotary
Cumberland County Total $ 27198.84
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI on this,
the 14th day of March 2013
Signature Title
ACS W &I 11 -00 -0000
for DEANN BENDER (800) 829 -7650
(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 1 - Kept By Recording Office Form 668(Y)(c) (Rev. 2 -2004)
CAT. NO 60025X