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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 Option Use by Recording Office
SMALL BUSINESS /SELF EMPLOYED AREA ##2
Lien Unit Phone: (800) 913 -6050 953613113 _
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.j
property belonging to this taxpayer for the amount of these taxes, and -'
additional penalties, interest, and costs that may accrue. = �'
Name of Taxpayer KEVIN E BOWEN
Residence 502 POPLAR AVE �
NEW CUMBERLND PA 17070-1872 7>
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 o '21
in IRC 6325(a). R — i t 2 9y W3P
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 03/31/2005 XXX -XX -5461 07/13/2009 08/12/2019 5320.23
6672 06/30/2005 XXX -XX -5461 07/13/2009 08/12/2019 5320.23
6672 09/30/2005 XXX -XX -5461 07/13/2009 08/12/2019 5763.94
6672 12/31/2005 XXX -XX -5461 07/13/2009 08/12/2019 5320.23
6672 03/31/2006 XXX -XX -5461 07/13/2009 08/12/2019 4829.26
Place of Filing
Prothonotary
Cumberland County Total $ 26553.89
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI , on this,
the 05th day of August 2013
Signature Title
\{ REVENUE OFFICER 22 -06 -1408
for MIGNA RODRIGUEZ (717) 777 -9622
(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)
AT Form 668( (Rev. 2 -2004)
Part 1 - Kept By Recording Office CAT NO 60025X