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Form 668 (Y)(c) Department of the Treasury - Internal Revenue Service
(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) 829 -3903 993206514 / `J , � a � -�
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)
have been assessed against the following -named taxpayer. We have made:a
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%'' l
additional penalties, interest, and costs that may accrue. u'
Name of Taxpayer CHRISTOPHER D LAUVER
C--) k-
r
Residence' " c-
46 WARWICK CIR -.--i �.
MECHANICSBURG, PA 17050 -2600
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
in IRC 6325(a). 4�Y-11
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 12/31/2008 XXX -XX -4650 10/31/2011 11/30/2021 39747.16
1040 12/31/2009 XXX -XX -4650 04/30/2012 05/30/2022 1281.67
Place of Filing
Prothonotary
Cumberland County Total $ 41028.83
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI , on this,
the 04th day of April 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. Rut. 71 -466, 1971 - 2 C.B. 409)
Part 1 - Kept By Recording Office Form 668(Y)(c) (Rev. 2 -2004)
CAT. NO 60025X