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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 #3
Lien Unit Phone: (800) 913-6050 111047614
As provided by section 63211 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 rn uo n
additional penalties, interest, and costs that may accrue. G-1
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Name of Taxpayer CLAIR E SNELBAKERy + ,
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Residencez Q CD
447 LOCUST RD �
NEW CUMBERLAND, PA 17070 u1 ?'
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, / r
unless notice of the lien is refiled by the date given in column (e), this notice shall, v7f S��+Gz �%• �'
on the day following such date, operate as a certificate of release as defined
in IRC 6325(a1.
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 12/31/2005 XXX-XX-4991 02/27/2012 03/29/2022 389 . 33
1040 12/31/2006 XXX-XX-4991 07/26/2010 08/25/2020 61391 . 15
Place of Filing
Prothonotary
Cumberland County Total $ 61780 .48
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI ; on this,
the 23rd day of July 2014
Signature /-'�� REVENUE OFFICER 23-06-4150
for MICHAEL CARR (239) 938-9127
(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