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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 F~
Lien Unit Phone: (800) 829-3903 214255605 0[; ~ j/f{j
As provided by section 6321, 6322, and 6323 of the Internal Revenue (j. /4.00 ~cl
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, (2J~ ~ I d-- liP
there is a lien in favor of the United States on all property and rights to '"
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property belonging to this taxpayer for the amount of these taxes, and ('- ,.;:::.;> ""I'
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additional penalties, interest, and costs that may accrue. :C'l: .--1
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Name of Taxpayer DAVID BILLMAN I ~~:!F~
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Residence , :~':}2.~
825 PENNSYLVANIA AVE , c::::rn
LEMOYNE, PA 17043-1531 C?? ~;;:
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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,
on the day following such date, operate as a certificate of release as defined
in IRe 63251a).
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 12/31/1991 205-38-3468 06/22/1998 07/22/2008 485.05
1040 12/31/1992 205-38-3468 06/22/1998 07/22/2008 178.57
1040 12/31/1993 205-38-3468 06/29/1998 07/29/2008 2927.42
1040 12/31/1994 205-38-3468 06/29/1998 07/29/2008 7375.42
1040 12/31/1995 205-38-3468 06/29/1998 07/29/2008 7275,10
1040 12/31/1997 205-38-3468 OS/25/1998 06/24/2008 11055,66
Place of Filing
Prothonotary
Cumberland County Total $ 29297.22
Carlisle, PA 17013
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the
15th day of February
2005
Signature
23-00-0008
for L LEDER
Title
ACS
(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. Ru!' 71-466, 1971 - 2 C.B. 409)
Part 1 ~ Kept By Recording Office
Form 668(Y)(c) IRev. 2.20041
CAT. NO 60025X