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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
SMALL BUSINESS /SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913 -6050 928364313
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including Interest and penahies)
have been assessed against the following -named taxpayer. We have made
a demand for payment of this Eability, but it remains unpaid. Therefore,
there is a lien in favor of the United States on all property and rights to t Zj:
property belonging to this taxpayer for the amount of these taxes, and
additional penalties, Interest, and costs that may accrue. -o co
m
Name of Taxpayer MICHAEL J & KATHLEEN B REILLY �A ON ac;
Residence 3 CD
120 RIDGE DR
CARLISLE, PA 17015 -9711 >C q C
� "
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, ��.,j f ,�l, G =•
on the day following such date, operate as a certificate of release as defined
in IRC 6325(a).
Tax Period Date of Last Dad► for Unpaid Balance
Kind of Tax Ending Identifying Number Anent Ruing of Assessment
a b c d e
1040 12/31/2010 XXX -XX -2346 111/21/2011 12/21/2021 125440.11
1040 12/31/2011 XXX -XX -2346 11/19/2012 12/19/2022 27012.23
Place of Filing
Prothonotary
Cumberland County Total $ 152452.34
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI , on this,
the 19th day of March 2013
Signature Title
\fit 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 668M(c) (Rev. 2 -2004)
Part 1 -Kept BY Recording Offfce CAT. NO 60025X