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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) 913 -6050 942598913
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,
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 .,
additional penalties, interest, and costs that may accrue. P- C= _ r
Name of Taxpayer DEBORAH A STRING
LEAF OF EVE r—C�4
Residence 149 N ENOLA DR r a
ENOLA, PA 17025
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, „ �� 7'
on the day following such date, operate as a certificate of release as defined
in IRC 6325(a). P-�t* -;Z9/ 211
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilling of Assessment
(a) (b) (c) (d) (e) W
940 12/31/2011 23- 2172069 04/01/2013 05/01/2023 173.47
941 09/30/2011 23- 2172069 02/25/2013 03/27/2023 332.74
941 12/31/2011 23- 2172069 03/04/2013 04/03/2023 217.88
941 03/31/2012 23- 2172069 02/18/2013 03/20/2023 399.73
Place of Filing
Prothonotary
Cumberland County Total $ 1123.82
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI , on this,
the 03rd day of June 2013
Signature Title
REVENUE OFFICER 22 -06 -1418
for JAKOB PEDERSEN (717) 777 -9621
(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)
AT
Part 1 - Kept By Recording Office Form 668( C (Rev. 2 - 2004)
CAT. NO 60025X