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Department of the Treasury - internal Revenue Service
Form 668 (Y)(c)
(Rev. February 20041 Notice of Federal Tax Lien
Area: Serial Number For Optional Use by Recording Office _
SMALL BUSINESS/SELF EMPLOYED AREA #1
Lien Unit Phone: (800) 913-6050 118621714 L
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 a8 property and rights to
property belonging to this taxpayer for the amount of these taxes, and rn cis
additional penalties, interest, and costs that may accrue.
Name of Taxpayer MARCELLE E ROBEY U) C)C)
Residence 513 S COLLEGE ST R? L=2
CARLISLE, PA 17013 . c:
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). 00
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 12/31/2009 XXX-XX-5479 07/18/2011 08/17/2021 25633 . 18
1040 12/31/2010 XXX-XX-5479 07/11/2011 08/10/2021 6215 .64
Place of Filing
Prothonotary
Cumberland County Total $ 31848 .82
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI on this,
the 05th day of September 2014
Signaturei';�r� CASE PROC MGR 21-00-0018
for TERESA SMALLEY-BANFIELD (866) 611-6191
(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)