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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
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (800) 829-7650 108695114
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 . .
property belonging to this taxpayer for the amount of these taxes, and #?
additional penalties, interest, and costs that may accrue. Fes-
.
Name of Taxpayer PATRICK NEMEC ' N.,,
41 GREEN RIDGE RD
Residence : , C:),
MECHANICSBURG, PA 17050-1507 •
E
:6325(a).
NT RELEASE INFORMATION: For each assessment listed below,
e of the lien is refiled by the date given in column (e), this notice shall,
following such date, operate as a certificate of release as defined 1e�" 3 6 729 h
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 12/31/2010 XXX-XX-2551 12/10/2012 01/09/2023
1040 12/31/2010 XXX-XX-2551 06/10/2013 07/10/2023 10651 . 65
1040 12/31/2011 XXX-XX-2551 04/15/2013 05/15/2023 5189 . 17
1040 12/31/2013 XXX-XX-2551 06/09/2014 07/09/2024 2390 . 00
Place of Filing
Prothonotary
Cumberland County Total $ 18230 . 82
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI
on this,
the 09th day of July 2014
SignatureTitle
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) Form 668(Y)(c) (Rev. 2-2004)
Part 1 - Kept By Recording Office CAT. NO 60025X