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Department of the Treasury - Internal Revenue Service
(Rev.February 20004!4)
Form 668 (YNotice 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 136976914 00 Y_
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 all property and rights to = -�
property belonging to this taxpayer for the amount of these taxes, andrn
additional penalties, interest, and costs that may accrue.
c`n --
CD
Name of Taxpayer KENNETH L RAPP
CJ
Residence 39 HONEYSUCKLE DR =r
MECHANICSBURG, PA 17050-3166 "=
E
RTANT RELEASE INFORMATION: For each assessment listed below,
notice of the lien is refiled by the date given in column (e), this notice shall,day following such date, operate as a certificate of release as defined6325(a). 3/5���
Tax Period Date of Last Da for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2008 XXX-XX-5510 11/17/2014 12/17/2024 58231 .35
1040 12/31/2009 XXX-XX-5510 11/24/2014 12/24/2024 14511. 85
1040 12/31/2010 XXX-XX-5510 11/24/2014 12/24/2024 34758. 90
1040 12/31/2011 XXX-XX-5510 11/24/2014 12/24/2024 42872 .31
Place of Filing
Prothonotary
Cumberland County Total $ 150374 .41
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI , on this,
the 30th day of December 2014.
SignatureNom / Title
REVENUE OFFICER 22-06-2624
for JAKOB A PEDERSEN (717) 777-9621
(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 rnT tin anmRx