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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 #1
Lien Unit Phone: (800) 913 -6050 957155113 -71
As provided by section 6321, 6322, and 6323 of the Internal Revenue 13 - S/yU
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, r
there is a lien in favor of the United States on all property and rights to . a; --T
property belonging to this taxpayer for the amount of these taxes, and rnm C :Z rn M nn �_
additional penalties, interest, and costs that may accrue. = ;0 'o r•
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Name of Taxpayer DUANE LEBO -<X> t�
C�
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Residence 661 W OLD YORK RD
CARLISLE, PA 17015 -9155 Otis r"
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, � s ���
on the day following such date, operate as a certificate of release as defined
in IRC 6325(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 12/31/2000 XXX -XX -0006 03/26/2007 04/25/2017 125.02
1040 12/31/2004 XXX -XX -0006 03/26/2007 04/25/2017 14143.15
1040 12/31/2010 XXX -XX -0006 04/29/2013 05/29/2023 1899.06
1040 12/31/2011 XXX -XX -0006 05/28/2012 06/27/2022 913.19
Place of Filing
Prothonotary
Cumberland County Total $ 17080.42
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI , on this,
the 22nd day of August 2013
Signature �-�� Title
CASE PROC MGR 21 -00 -0018
for KAREN ESPOSITO (866) 611 -6191
(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. 2-200
Pan t - Kept By Recording Office CAT. NO 60025X X