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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 930041413
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.
Name of Taxpayer LARRY W & JANET L MILLER rn 0
Residence 24 RIVERVIEW DRy` rte -;{
ENOLA, PA 17025-2645 -
�C <5
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, „Z/-�S�po/` �' 7
on the day following such date, operate as a certificate of release as defined ? ���7�
in IRC 6325(a).
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 12/31/2003 XXX-XX-3567 06/22/2009 07/22/2019 2079 . 31
Place of Filing
Prothonotary
Cumberland County Total $ 2079 .31
Carlisle, PA 17013
This notice was prepared and signed at
DETROIT, MI , on this,
the 27th day of March 2013.
Signature ,-- C � Title
` ` REVENUE OFFICER 22-03-4033
for B. KREUTZER (412) 395-6343
(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