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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) 913-6050 101914714
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, :r
there is a lien in favor of the United States on all property and rights to c
property belonging to this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs that may accrue. `r*7 '
Name of Taxpayer TIMOTHY R & JOYCE NORRIS
Residence PO BOX P :;n W �
NEW CUMBERLAND, PA 17070-0227
E
RTANT RELEASE INFORMATION: For each assessment listed below,notice of the lien is refiled by the date given in column {e} this notice shall, j
day following such date, operate as a certificate of release as defined6325(a}. )ems 3
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (f7
1040 12/31/2012 XXX-XX-0106 05/12/2014 06/11/2024 51598. 64
Place of Filing
Prothonotary
Cumberland County Total $ 51598 .64
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI , on this,
the 28th day of May 2014
Signature Q���^ Title
� � REVENUE OFFICER 22-06-2625
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 bb$( {Rev. }
Part f -Kept By Recording Office CAT. NO 600025X25X
CAT