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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 934753913
As provided by section 6321, 6322, and 6323 of the Internal Revenue 13 - o�306o
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,
there is a lien in favor of the United States on all property and rights to
m co rn o r rM
property belonging to this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs that may accrue. N
Name of Taxpayer JOSEPH CYR -
3 C- -
Y C)
sv
Residence sa
20 PARK ST,
MT HOLLY SPGS, PA 17065 -1434
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,
IV � �, 7
on the day following such date, operate as a certificate of release as defined
in 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 12/31/2003 XXX -XX -3027 10/22/2012 11/21/2022 12603.82
1040 12/31/2004 XXX -XX -3027 10/29/2012 11/28/2022 14778.00
1040 12/31/2005 XXX -XX -3027 10/29/2012 .11/28/2022 6971.48
1040 12/31/2006 XXX -XX -3027 10/29/2012 11/28/2022 51608.61
104,0 12/31/2007 XXX -XX -3027 10/29/2012 11/28/2022 294.05
1040 12/31/2008 XXX -XX -3027 10/29/2012 11/28/2022 10781.54
1040 12/31/2009 XXX -XX -3027 10/15/2012 11/14/2022 1746.75
1040 12/31/2010 XXX -XX -3027 10/15/2012 11/14/2022 4976.43
Place of Filing
Prothonotary
Cumberland County Total $ 103760.68
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI , on this,
the 19th day of April 2013
Signature C� Title
REVENUE OFFICER 22 -06 -1418
for JAKOB PEDERSEN (717) 777 -9621
(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 t - Kept By Recording Office CAT. NO 60025X