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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 963876913
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 _
property belonging to this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs that may accrue.
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Name of Taxpayer ROBERT A & MARJORIE E ETTLINGER cn N Q t'✓
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Residence 510 HALYARD WAY
ENOLA, PA 17025 -1329
F ORTANT RELEASE INFORMATION For each assessment listed below, ss notice of the lien is refilled by the date given in column (e), this notice shall, he day following such date, operate as a certificate of release as defined IRC
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 12/31/2011 XXX -XX -0377 05/28/2012 06/27/2022 41797.32
1040 12/31/2012 XXX -XX -0377 06/03/2013 07/03/2023 10337.69
Place of Filing
Prothonotary
Cumberland County Total $ 52135.01
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI , on this,
the 30th day of September 2013
Signature �� ACS SBSE 22 -00 -0008
for G.J. CARTER -LOUIS (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