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Form 668 (Y)(c) Department of the Treasury - Internal Revenue Service
(Rev. February 2004) Notice of Federal Tax Lien
Area: Serial Number For Optio Use by Recording Office
SMALL BUSINESS /SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 829 -3903 963280613
As provided by section 6321, 6322, and 6323 of the Internal Revenue J`3 6,-),3 J
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 C-- -
additional penalties, interest, and costs that may accrue. cry
Name of Taxpayer DONNA & RONALD VASILOFF -
th � CD
r-o' wt C
- CD
Residence 508 8TH ST �_ z
NEW CUMBERLND, PA 17070 -1505
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
in IRC 6325(a). 029 l
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2007 XXX -XX -3199 03711/2013 04/10/2023 9759.60
1040 12/31/2008 XXX -XX -3199 03/18/2013 04/17/2023 20041.09
1040 12/31/2009 XXX -XX -3199 03/18/2013 04/17/2023 21786.40
1040 12/31/2010 XXX -XX -3199 03/25/2013 04/24/2023 17874.58
1040 12/31/2011 XXX -XX -3199 01/07/2013 02/06/2023 11903.53
Place of Filing
Prothonotary
Cumberland County Total $ 81365.20
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI , on this,
the 26th day of September 2013
Signature �� ACS SBSE 22 -00 -0001
for P.A. B (800) 829 -3903
(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)
Part 1 - Kept By Recording Office Form 668( CAT (Rev. 2 20041
CAT. NO 60025X