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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 941793613
As provided by section 6321, 6322, and 6323 of the Internal Revenue
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, w _,a
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there is a lien in favor of "the United States on all property and rights to co
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property belonging to this taxpayer for the amount of these taxes, and �= r
additional penalties, interest, and costs that may accrue. CD
Name of Taxpayer PAMELA A FRIDINGER CD
Residence 109 LOCUST ST
SHIPPENSBURG, PA 17257 -1715
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,
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 Reflling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2005 XXX -XX -0675 03/02/2009 04/01/2019 2689.38
1040 12/31/2006 XXX -XX -0675 08/03/2009 09/02/2019 11522.73
1040 12/31/2008 XXX -XX -0675 05/04/2009 06/03/2019
1040 12/31/2008 XXX -XX -0675 10/04/2010 11/03/2020 604.64
Place of Filing
Prothonotary
Cumberland County Total $ 14816.75
Carlisle, PA 17013
This notice was prepared and signed at DETROIT MI , on this,
the 29th day of May, 2013
Signature Title
REVENUE OFFICER 22 -06 -2620
for JACOB KAISER (304) 263 -7625
(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(Y)(c) (Rev. 2 - 2004)
CAT. NO 60025X