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14-6018
11883 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 #1 Lien Unit Phone: (800) 913-6050 123445014 As provided by section 6321, 6322, and 6323 of the Internal Revenue /y' ©/ GSL 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 ZM C-> additional penalties, interest, and costs that may accrue. Zr ,.. CD cDI Name of Taxpayer ANGEL J ANILE r�'-z —4 CD =�1 ZQ C) »: Residence 30 BRIDGEPORT DR 3> .> MECHANICSBURG, PA 17050-7360 n 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, ;2/.,V looW- G on the day following such date, operate as a certificate of release as defined in IRC 6325(a). -* 3«I&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 12/31/2012 XXX-XX-8910 12/02/2013 01/01/2024 16337 . 33 Place of Filing Prothonotary Cumberland County Total $ 16337 . 33 Carlisle, PA 17013 This notice was prepared and signed at DETROIT, MI , on this, the 03rd day of October 2014 Signature -;��C � ACS SBSE 21-00-0008 for P.A. BELTON (800) 829-3903 (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