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1872
Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien
(Rev. February 2004) n.., OS'- S 3/(, 1./.L.
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #3 P,L /W
Lien Unit Phone: (800) 829-3903 250915705 Q /'f.{Ib
As provided by section 632., 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including interest and penalties) tic '/3/
have been assessed against the following-named taxpayer. We have made / t 1(,71
a demand for payment of this liability, but it remains unpaid. Therefore, g"
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 '"
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additional penalties, interest, and costs that may accrue. <-, oJ
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Name of Taxpayer JAMES CAROL W CAPLINGER " c-: 'j0
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Residence 1327 KUHN RD ..,., ~-;:;:
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BOILING SPRGS, PA 17007-9623 ,- L.)
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, ::0
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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 IRe 6325(al.
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilmg of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/1993 287-34-1134 06/03/1996 07/03/2006 1900.57
Place of Filing
Prothonotary
Cumberland County Total $ 1900.57
Carlisle, PA 17013
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the 29th day of September, 2005
Signature
tl fI~
Title
ACS
(800) 829-3903
23-00-0008
for L LEDER
(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 1 - Kept By Recording Office
Form 668(Y)(c) 1Rev. 2,20041
CAT. NO 60025X