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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 R ecording Office
SMALL BUSINESS /SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 829 -3903 991024714
As provided by section 6321, 6322, and 6323 of the Internal Revenue 7
Code, we are giving a notice that taxes (including interest and penalties)
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have been assessed against the following -named taxpayer. We have made
a demand for payment of this liability, but it remains unpaid. Therefore, - :a
there is a lien in favor of the United States on all property and rights to �; = T
property belonging to this taxpayer for the amount of these taxes, and
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additional penalties, interest, and costs that may accrue.
_.
Name of Taxpayer EDWARD H POWERS -T'
CD
Residence 851 KIEHL DR -i - .
LEMOYNE, PA 17043 -1201
IMPORTANT RELEASE INFORMATION For each assessment listed below,
unless notice of the lien is refilled 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). 3o3 we
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)
CIVP 09/30/2008 XXX -XX -6825 06/20/2011 07/20/2021 15333.64
CIVP 09/30/2009 XXX -XX -6825 06/20/2011 07/20/2'021 10478.79
CIVP 12/31/2009 XXX -XX -6825 06/20/2011 07/20/2021 15570.68
CIVP 03/31/2010 XXX -XX -6825 06/20/2011 07/20/2021 7810.34
CIVP 06/30/2010 XXX -XX -6825 06/20/2011 07/20/2021 7843.72
CIVP 09/30/2010 XXX -XX -6825 06/20/2011 07/20/2021 7214.06
Place of Filing
Prothonotary
Cumberland County Total $ 64251.23
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI , on this,
the 25th day of March 2014
,
Signature Title
ACS SBSE 22 -00 -0001
for P.A. BELTON (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) Form 668(Y)(c) (Rev. 2 -2004)
Part 1 - Kept By Recording Office CAT. NO 60025X