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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) 829 -3903 940657613 �L
As provided by section 6321, 6322, and 6323 of the Internal Revenue /: - 36�
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following -named taxpayer. We have made
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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 - U:x
property belonging to this taxpayer for the amount of these taxes, and X M
additional penalties, interest, and costs that may accrue. r*',
Name of Taxpayer THOMAS R & MARY BEA W VIEHMAN
Residence 917 E COOVER ST
MECHANICSBURG, PA 17055 -3446'
IMPORTANT RELEASE INFORMATION For each assessment listed below,
unless notice of the lien is refilled by the date given in column (e ), this notice shall, /. ��
on the day following such date, operate as a certificate of release as defined
in IRC 6325(a):
Tax Period Date of Last Da for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2009 XXX -XX -4181 07/12/2010 08/11/2020
1040 12/31/2009 XXX -XX -4181 07/30/2012 08/29/2022
1040 12/31/2009 XXX -XX -4181 07/30/2012 08/29/2022 35621.01
Place of Filing
Prothonotary
Cumberland County Total $ 35621.01
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI , on this,
the 21st day of May 2013
Signature Title
���C_ ACS SBSE 22 -00 -0001
for P.A. BELTON (800) 829 -3903
(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( CAT (Rev. 025X )
Part 1 - Kept By Recording Office
CAT. NO 60025X