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1872
Department of the Treasury - Internal Revenue Service
Form 668 (Y)( c) Notice of Federal Tax Lien
jRev. February 2004)
Area; Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #3 '-II to A- 'F -JL
lien Unit Phone: IB 00) 913-6050 240849705 05-
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 pJ f4f~{'-I,
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 c.. 5'f~
additional penalties, interest, and costs that may accrue. f<
Name of Taxpayer DANIEL L HATTER /(,,75"0
Residence 3101 COLUMBIA AVE
CAMP HILL, PA 17011-5223
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),
Tax Period Date of Last D?; for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refi mg of Assessment
(a) (b) (c) (d) (e) (f)
941 03/31/1999 25-1656603 09/15/2003 10/15/2013 45632.89
941 03/31/2000 25-1656603 06/30/2003 07/30/2013 l5532.01
941 09/30/2001 25-1656603 07/07/2003 08/06/2013 26182.71
941 12/31/2001 25-1656603 07/07/2003 08/06/2013 28608.99
941 06/30/2002 25-1656603 07/07/2003 08/06/2013 13537.09
941 03/31/2003 25-1656603 06/30/2003 07/30/2013 11331. 28
941 06/30/2003 25-1656603 lO/27/2003 11/26/2013 10883.28
941 12/31/2003 25-1656603 OS/24/2004 06/23/2014 990.44
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Place of Filing -'. -- :g- :--:,w
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Prothonotary J.~S: .- 1p
Cumberland County Totai $ ~2~.~
Carlisle, PA 17013
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This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the
01st day of August
2005
Signature
Title
REVENUE OFFICER
(717) 221-3490
23-09-1459
for CINDY SIMCOX
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien
Rev. Ru!. 71-466. 1971 - 2 C.B. 4091
Part I - Kept By Recording OffIce
Form 668(Y)(c) (Rev. 2-20041
CAT. NO 60025X
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