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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
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (800) 829 -7650 938295213
As provided by section 6321, 6322, and 6323 of the Internal Revenue 13 - o 270 F ��-
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
property belonging to this taxpayer for the amount of these taxes, and C ` -=
additional penalties, interest, and costs that may accrue.
Name of Taxpayer LISA LANG -M M
Residence <
1154 NEWVILLE RD
rZa
CARLISLE, PA 17013 -1739; _ ,a
EinIR RTANT RELEASE INFORMATION: For each assessment listed below,
notice of the lien is refiled by the date given in column (e), this notice shall,
day following such date, operate as a certificate of release as defined o?/ S�
6325(a). , 52!9A to 7 7
Tax P eriod Date of Last Day for unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2003 XXX -XX -1689 05/26/2008 06/25/2018 7772.86
1040 12/31/2004 XXX -XX -1689 04/27/2009 05/27/2019 16423.00
1040 12/31/2005 XXX -XX -1689 04/27/2009 05/27/2019 19144.27
Place of Filing
Prothonotary
Cumberland County Total $ 43340.13
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI , on this,
the 08th day of May, 2013
Signature � 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) Form 668(Y)(c) (Rev. 2 -2004)
Part 1 - Kept By Recording Office CAT. NO 60025X