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Form 668 (Y)(c) Department of the Treasury - Internal Revenue Service
(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 938572213
As provided by section 6321, 6322, and 6323 of the Internal Revenue 13 - ° 2 70 CAL
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, C r `
there is a lien in favgr of the United States on all property and rights to :�'' w —
CO
property belonging to this taxpayer for the amount of these taxes, and+
additional penalties, interest, and costs that may accrue.
Name of Taxpayer TAMMY L BOCK
C
Residence
3 WILTSHIRE WEST ST
CARLISLE, PA 17015 -7100
IMPORTANT RELEASE INFORMATION For each assessment listed below,
unless notice of the lien is refiled b the date given in column (e), this notice shall,
on the day following such date, operate as certificate of release as defined .21--s � P� .
in IRC 6325(a).
r
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilling of Assessment
(a) (b) (c) (d) (e) M
1040 12/31/2005 XXX -XX -2837 11/07/2011 12/07/2021 7645.07
Place of Filing
Prothonotary
Cumberland County Total $ 7645.07
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI
on this,
the 09th day of May 2013
Signature Title
\� REVENUE OFFICER 22 -06 -1413
for LINDSEY O BOWLIN (717) 777 -9623
(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 2004)
CAT. NO 60025X