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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 958030213
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
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a demand for payment of this liability, but it remains unpaid. Therefore, r"I rnc3 ,
there is a lien in favor of the United States on all property and rights to
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property belonging to this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs that may accrue. z o
Name of Taxpayer ROBERT C CASSEL;
Residence 23 ADAMS ST
ENOLA, PA 17025 -2829
IMPORTANT RELEASE INFORMATION For each assessment listed below, A
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 n'
in IRC 6325(a). /�iT S3lp 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 12/31/2004 XXX -XX -8686 05/30/2005 06/29/2015 1543.50
1040 12/31/2008 XXX -XX -8686 07/12/2010 08/11/2020 2803.90
1040 12/31/2009 XXX -XX -8686 05/31/2010 06/30/2020 722.91
Place of Filing
Prothonotary
Cumberland County Total $ 5070.31
Carlisle, PA 17013
This notice was prepared and signed at
DETROIT, MI , on this,
the 2 8th day of August 2013
Signature �� Title 11 -00 -0000
ACS W &I
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) Form 668(Y)(c) (Rev. 2 -2004)
Part 1 - Kept By Recording Office CAT. NO 60025X