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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 972761413
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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, Co C- �•;;
there is a lien in favor of the United States on all property and rights to r1
property belonging to this taxpayer for the amount of these taxes, and cn; --
additional penalties, interest, and costs that may accrue. - :
c� . .
Name of Taxpayer TIMOTHY D & CARRIE M ARNOLD - -n -.-
:� s rti�
Residence 6995 WERTZVILLE RD
MECHANICSBURG, PA 17050 -1541
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 c9� S� �GI C 7
in IRC 6325(a). i#` —
Tax Period Date of Last Da for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2006 XXX -XX -6176 11/02/2009 12/02/2019 57645.50
1040 12/31/2007 XXX -XX -6176 08/23/2010 09/22/2020 16637.43
Place of Filing
Prothonotary
Cumberland County Total $ 74282.93
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI , on this,
the 09th day of December 2013
Signature Title
REVENUE OFFICER 22 -06 -1418
for JAKOB PEDERSEN (717) 777 -9621
(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