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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 946531113
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 u, —i
additional penalties, interest, and costs that may accrue.
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Name of Taxpayer TERESA E LAUGHMAN c r'-
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Residence 12 OAK RIDGE RD C:)
CARLISLE, PA 17015 -9710 I>
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=IRC6325(a). RELEASE INFORMATION For each assessment listed below,
he lien is refiled by the date given in column (e ), this notice shall,
wing such date, operate as a certificate of release as defined��
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)
6672 12/31/2008 XXX -XX -9983 08/20/2012 09/19/2022 7831.44
6672 03/31/2009 XXX -XX -9983 09/05/2011 10/05/2021
6672 03/31/2009 XXX -XX -9983 08/20/2012 09/19/2022 2551.83
6672 09/30/2011 XXX -XX -9983 09/10/2012 10/10/2022 2571.60
6672 03/31/2012 XXX -XX -9983 09/10/2012 10/10/2022 2770.30
Place of Filing
Prothonotary
Cumberland County Total $ 15725.17
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI , on this,
the 25th day of June 2013
Signature ' �� Title
` ` REVENUE OFFICER 22 -06 -1407
for SEAN DUNLEAVY (717) 777 -9626
(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