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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 949765913
As provided by section 6321, 6322, and 6323 of the Internal Revenue 43 - J-f3/7 /, 71-
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 MM C — rn --
M M
property belonging to this taxpayer for the amount of these taxes, and r
additional penalties, interest, and costs that may accrue.
Name of Taxpayer ROBERT HOCK
�CD
Residence 22 SCRAFFORD ST CD r
SHIPPENSBURG, PA 17257 -1728
IMPORTANT RELEASE INFORMATION: For each assessment listed below, r
unless notice of the lien is refiled by the date given in column (e), this notice shall, .21, So Pot � T
on the day following such date, operate as a certificate of release as defined s
in IRC 6325(a). �JF' a 93 W
Tax Period Date of Last Da yy for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2006 XXX -XX -7991 07/01/2013 07/31/2023 7501.36
1040 12/31/2007 XXX -XX -7991 06/24/2013 07/24/2023 6274.22
1040 12/31/2008 XXX -XX -7991 06/24/2013 07/24/2023 5178.51
1040 12/31/2009 XXX -XX -7991 06/24/2013 07/24/2023 6256.36
1040 12/31/2010 XXX -XX -7991 07/01/2013 07/31/2023 12861.88
1040 12/31/2011 XXX -XX -7991 06/24/2013 07/24/2023 6168.54
1040 12/31/2012 XXX -XX -7991 06/03/2013 07/03/2023 4910.79
Place of Filing
Prothonotary
Cumberland County Total $ 49151.66
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI , on this,
the 16th day of July 2013
Signature Title
REVENUE OFFICER 22 -06 -2620
for JACOB KAISER (304) 263 -7625
(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