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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 102431614
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,
there is a lien in favor of the United States on all property and rights to r
property belonging to this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs that may accrue. rnQ C_
Name of Taxpayer BIMAL PATEL �
-<> C3 CD x
Residence1330 ARMITAGE WAY c,
MECHANICSBURG, PA 17050-6403 y, rC-D
—+
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, a�• J v /e/`
on the day following such date, operate as a certificate of release as defined
in IRC 6325(a).
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 06/30/2006 XXX-XX-3285 03/25/2013 04/24/2023 6047 . 66
CIVP 09/30/2006 XXX-XX-3285 03/25/2013 04/24/2023 5961 . 04
CIVP 03/31/2009 XXX-XX-3285 03/25/2013 04/24/2023 6189 . 19
CIVP 06/30/2009 XXX-XX-3285 03/25/2013 04/24/2023 5009 . 19
CIVP 09/30/2009 XXX-XX-3285 03/25/2013 04/24/2023 5117 . 33
CIVP 12/31/2009 XXX-XX-3285 03/25/2013 04/24/2023 5196 .27
CIVP 03/31/2010 XXX-XX-3285 03/25/2013 04/24/2023 4390 . 66
CIVP 06/30/2010 XXX-XX-3285 03/25/2013 04/24/2023 4800 . 38
CIVP 09/30/2010 XXX-XX-3285 03/25/2013 04/24/2023 4927 .29
Place of Filing
Prothonotary
Cumberland County Total $ 47639 . 01
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI , on this,
the 30th 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) Form 668(Y)(c) (Rev. 2-2004)
Part 1 - Kept By Recording Office CAT. NO 60025X