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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 945159413
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 C=
property belonging to this taxpayer for the amount of these taxes, and
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additional penalties, interest, and costs that may accrue.
Name of Taxpayer THOMAS B & LARISSA YORK
x" CD -r-1
Residence 6 SENTRY POINT RD a � C
LEMOYNE, PA 17043 -1670
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FRC NT RELEASE INFORMATION: For each assessment listed below, r
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
5(a).�
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2011 XXX -XX -0125 12/17/2012 01/16/2023 144146.74
Place of Filing
Prothonotary
Cumberland County Total $ 144146.74
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI , on this,
the 18th day of June 2013
Signature C.�.,� REVENUE OFFICER 22 -03 -4033
for B. KRE (412) 395 -6343
(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( (Rev. 2-200
Part 1 - Kept By Recording Office CAT. NO 60025X X