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Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien
(Rev. February 2004)
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS /SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913 -6050 944074113
3
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 w --j
property belonging to this taxpayer for the amount of these taxes, and r c_
additional penalties, interest, and costs that may accrue. z --0
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Name of Taxpayer FABIO LUCCI -� ' ti0 7
CHLOES PIZZA
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Residence 145 CHEETAH DR Z C� t w'
HANOVER, PA 17331"
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 5� ` n� - L5 - /•
in IRC 6325(a).
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
941 03/31/2010 20- 4542418 10/15/2012 11/14/2022 495.55
941 06/30/2010 20- 4542418 02/04/2013 03/06/2023 3034.64
941 09/30/2010 20- 4542418 10/15/2012 11/14/2022 2980.68
Place of Filing I
Prothonotary
Cumberland County Total $ 6510.87
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI , on this,
the 11th day of June 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) Form 668(Y)(c) (Rev. 2 -2004)
Part 1 - Kept By Recording Office CAT. NO 60025X