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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
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (800) 829 -7650 938853013
As provided by section 6321, 6322, and 6323 of the Internal Revenue 3
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following -named taxpayer. We have made'_ r '
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 MM - c M--
property belonging to this taxpayer for the amount of these taxes, and r — . _, :0
additional penalties, interest, and costs that may accrue. r = -� A
Name of Taxpayer KEVIN HEUER CD
c,
: ;r-
yam
Residence 109 N 26TH ST -
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CAMP HILL, PA 17011 -3617
F1tRC NT RELEASE INFORMATION: For each assessment listed below,
e of the lien is refiled by the date given in column (e), this notice shall,
following such date, operate as a certificate of release as defined f'
5(a). ,,f .2 9a�
Tax Period Date of Last Da for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment RerLg of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2008 XXX -XX -5369 02/27/2012 03/29/2022 25005.02
1040 12/31/2009 XXX -XX -5369 09/03/2012 10/03/2022 38212.69
1040 12/31/2010 XXX -XX -5369 07/16/2012 08/15/2022 10756.51
Place of Filing
Prothonotary
Cumberland County Total $ 73974.22
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI , on this,
the 10th day of May 2013
Signature Title
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