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Department of the Treasury - Internal Revenue Service
Form 668 ( 2004)
(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 991037114
As provided by section 6321, 6322, and 6323 of the Internal Revenue ,/ 03 r L
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
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property belonging to this taxpayer for the amount of these taxes, and —;
additional penalties, interest, and costs that may accrue.
Name of Taxpayer ANN G RUTHERFORD
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Residence 32 WILLIAM PENN DR C7- }
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CAMP HILL, PA 17011 -6667 T?
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 I V. sv p ' C` '
in IRC 6325(a). 303'711
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)
1040 12/31/2008 XXX -XX -5551 09/16/2013 10/16/2023 1237402.54
1040 12/31/2009 XXX -XX -5551 09/02/2013 10/02/2023 6791.41
Place of Filing
Prothonotary
Cumberland County Total $ 1244193.95
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI , on this,
the 25th day of March 2014
Signature Title
�\ C_49 -r REVENUE OFFICER 22 -06 -1408
for MIGNA RODRIGUEZ (717) 777 -9622
(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( (Rev. 2 -20
Part 1 - Kept By Recording Office CAT. NO 60025X X