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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 #2
Lien Unit Phone: (800) 913-6050 122464714
As provided by section 6321, 6322, and 6323 of the Internal Revenue '✓����� �.w
Code, we are giving a notice that taxes (including interest and penalties) y `
have been assessed against the following-named taxpayer. We have made �--
a demand for payment of this liability, but it remains unpaid. Therefore, -0 CD Q -
there is a lien in favor of the United States on all property and rights to ZM � ro r n
property belonging to this taxpayer for the amount of these taxes, and Z r I d
additional penalties, interest, and costs that may accrue.
Name of Taxpayer WILBUR K & CYNTHIA C SMITHn .
Residence2 31 OLDTOWN RD
GARDNERS, PA 17324-9098
=63325(a).
LEASE INFORMATION: For each assessment listed below, -1
lien is refiled by the date given in column (e), this notice shall,
ing such date, operate as a certificate of release as defined
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-4907 05/30/2011 06/29/2021 12714 . 80
1040 12/31/2012 XXX-XX-4907 06/03/2013 07/03/2023 1666 . 67
1040 12/31/2013 XXX-XX-4907 06/02/2014 07/02/2024 1112 . 75
Place of Filing
Prothonotary
Cumberland County Total $ 15494 .22
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI , on this,
the 30th day of September 2014
Signature Title
REVENUE OFFICER 22-06-2614
for LINDSEY O BOWLIN (717) 777-9623
(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)
AT
Part 1 - Kept By Recording Office Form 668( C (Rev. 2 2004►
CAT. NO 60025X