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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
SMALL BUSINESS/SELF EMPLOYED AREA #1
Lien Unit Phone: (800) 913-6050 123428314
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 alltY ro er and rights to '
p p g
property belonging to this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs that may accrue. -0 colMF
Name of Taxpayer DEBRA L RHOADS
Residence 211 W PINE ST
MT HOLLY SPGS, PA 17065 5c=
E
TANT RELEASE INFORMATION: For each assessment listed below,otice of the lien is refiled by the date given in column (e), this notice shall,dayfollowing such date, operate as a certificate of release as defined
225(a).
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 12/31/2011 XXX-XX-6965 03/10/2014 04/09/2024 2179 . 90
1040 12/31/2012 XXX-XX-6965 10/14/2013 11/13/2023 18856 .21
Place of Filing
Prothonotary
Cumberland County Total $ 21036 . 11
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI , on this,
the 03rd day of October . 2014
Signature Title
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)
AT Form 668( (Rev. 2-2004)
Part 1 - Kept By Recording Office CAT. NO 60025X