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1872
Department of the Treasury - Internal Revenue Service
Form 668 (Y)( c) Notice of Federal Tax Lien
(Rev. February 2004)
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #3 J-~
Lien Unit Phone: (800) 829-3903 213441005 OS: -IN?
As provided by section 6321, 6322, and 6323 of the Internal Revenue '</ /'-{.OO ?c.l
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, C2JL-=# 12-11P
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 ,J.. ::tL / ~16q~
additional penalties, interest, and costs that may accrue.
Name of Taxpayer RICARDO R & JENNIFER ALMEIDA
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Residence 310 E NORTH ST ?:~ tT1r~':,
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CARLISLE, PA 17013-2540 -iJ ~ ~ '
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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, 'j;:
on the day following such date, operate as a certificate of release as defined '.~J -,
-,..
in IRC 6325(a). W :'!1
.-<.:
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refihng of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2001 359-78-2066 06/03/2002 07/03/2012 863.38
1040 12/31/2002 359-78-2066 06/09/2003 07/09/2013 5013 .25
1040 12/31/2003 359-78-2066 05/31/2004 06/30/2014 4615.21
Place of Filing
Prothonotary
Cumberland County Toral $ 10491,84
Carlisle, PA 17013
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the
09th day of February
2005
for L LEDER
Title
ACS
(800) 829-3903
23-00-0008
Signature
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validitY of Notice of Federal Tax lien
Rev. Aul. 71-466,1971 - 2 C.B. 409)
Part 1 a Kept By Recording Office
Form 668(Y)(c) IRev. 2-20041
CA T. NO 60025X