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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 945426013 1 3
As provided by section 6321, 6322, and 6323 of the Internal Revenue J
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 r:
property belonging to this taxpayer for the amount of these taxes, and c ---
additional penalties, interest, and costs that may accrue. rnm � =w
Name of Taxpayer HAROLD E & PATRICIA L ARNDT II x:;o
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-T,
Residence
29 RIVERVIEW DR ,�� --
ENOLA, PA 17025- 2647�,�ir
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). �aJ'��
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 12/31/2004 XXX -XX -6192 02/08/2006 03/09/2016 357.83
1040 12/31/2006 XXX -XX -6192 12/19/2007 01/18/2018 2085.39
1040 12/31/2010 XXX -XX -6192 05/30/2011 06/29/2021 2499.70
1040 12/31/2011 XXX -XX -6192 05/07/2012 06/06/2022 4072.83
1040 12/31/2012 XXX -XX -6192 05/27/2013 06/26/2023 5139.24
Place of Filing
Prothonotary
Cumberland County Total $ 14154.99
Carlisle, PA 17013
This notice was prepared and signed at DET ROIT, MI , on this,
the 18th day of June 2013
Signature ACS W &I 11 -00 -0000
for DEANN ` BENDER (800) 829 -7650
(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