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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
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (800) 829-7650 106696114 ✓ ��
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 m rn C__ _
property belonging to this taxpayer for the amount of these taxes, and
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additional penalties, interest, and costs that may accrue. C, i
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Name of Taxpayer MARIAN L ELBY �� Y
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Residence 1422 BRADLEY DR APT C113 :Z
CARLISLE, PA 17013-1266
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). � Ods Jy�
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-8891 10/14/2013 11/13/2023 1937 . 55
1040 12/31/2009 XXX-XX-8891 10/07/2013 11/06/2023 2891 . 97
1040 12/31/2010 XXX-XX-8891 10/14/2013 11/13/2023 2627 . 06
1040 12/31/2012 XXX-XX-8891 01/06/2014 02/05/2024 1214 . 91
Place of Filing
Prothonotary
Cumberland County Total $ 8671 .49
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI , on this,
the 26th day of June 2014
Signature Title
\ C_4s-r' ACS W&I 11-00-0000
for DEANN BENDER (800) 829-7650
(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)
AT
Part 1 - Kept By Recording Office Form 668( C (Rev. 2 2004)
CAT. NO 60025X