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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) 829 -3903 101316514
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 -o
a demand for payment of this liability, but it remains unpaid. Therefore, rn
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
additional penalties, interest, and costs that may accrue. -ta
Name of Taxpayer BILLY J WARD
3 1 c o
Residence 6017 WERTZVILLE RD
ENOLA, PA 17025 -1178
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).�// ���,�•
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)
CIVP 06/30/2011 XXX -XX -0224 09/09/2013 10/09/2023 570.53
CIVP 09/30/2011 XXX -XX -0224 09/09/2013 10/09/2023 5624.88
CIVP 03/31/2012 XXX -XX -0224 09/09/2013 10/09/2023 8291.40
CIVP 06/30/2012 XXX -XX -0224 09/09/2013 10/09/2023 4869.47
CIVP 09/30/2012 XXX -XX -0224 09/09/2013 10/09/2023 2956.36
CIVP 12/31/2012 XXX -XX -0224 09/09/2013 10/09/2023 3912.32
Place of Filing
Prothonotary
Cumberland County Total $ 26224.96
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI , on this,
the 22nd day of May 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)
Part 1 - Kept By Recording Office Form 668( CAT (Rev. 2 20041
CAT. NO 60025X