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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 934179513
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including interest and penalties)
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have been assessed against the following -named taxpayer. We have made C-_ _.
a demand for payment of this liability, but it remains unpaid. Therefore, 'O:r
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there is a lien in favor of the United States on all property and rights to rn --
property belonging to this taxpayer for the amount of these taxes, and v�i� -, r-
additional penalties, interest, and costs that may accrue. cri Ea ,
Name of Taxpayer NATHAN D LEMACKS n
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Residence 1445 EXCEL AVE
CHAMBERSBURG, PA 17201 -7849
F PORTANT RELEASE INFORMATION For each assessment listed below,
less notice of the lien is refiled by the date given in column (e), this notice shall, the day following such date, operate as a certificate of release as defined IRC 6325(a).
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2007 XXX -XX -4853 06/18/2012 07/18/2022 11133.33
Place of Filing
Prothonotary
Cumberland County Total $ 11133.33
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI
on this,
the 17th day of April 2013
Signature Title
REVENUE OFFICER 22 -06 -2620
for JACOB KAISER (304) 263 -7625
(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( CAT (Rev. 2 - 20041
CAT. NO 60025X