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1872
Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien
(Rev. February 2004) I1.c.O$'- S"/ J-5 Frl-
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #3 rd.. P1/' Ii ,0
Lien Unit Phone: (800) 913-6050 252706705
As provided by section 6321, 6322, and 6323 of the Internal Revenue ~ I~JI
Code, we are giving a notice that taxes (including interest and penalties) o~ / & 'i s rr
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
additional penalties, interest, and costs that may accrue. ,...,
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Name of Taxpayer MARK A MINNICH ~n
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Residence 300 HOLLAR AVE co ie,.
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SHIPPENSBURG, PA 17257-2138 2?-:
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IMPORTANT RELEASE INFORMATION: For each assessment listed below. C)
unless notice of the lien is refiled by the date given in column (e), this notice shall, t.., :~
on the day following such date, operate as a certificate of release as defined U'l
in IRC 63251al.
Tax Period Date of Last Da.r. for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refi mg of Assessment
(a) (b) (c) (d) (e) (f)
941 12/31/1998 25-1806931 07/04/2005 08/03/2015 23520.67
941 03/31/1999 25-1806931 07/11/2005 08/10/2015 7630.76
941 06/30/1999 25-1806931 07/04/2005 08/03/2015 8074.69
941 09/30/1999 25-1806931 07/04/2005 08/03/2015 8468.92
941 12/31/1999 25-1806931 07/04/2005 08/03/2015 8752.18
941 03/31/2000 25-1806931 07/04/2005 08/03/2015 8596.21
941 06/30/2000 25-1806931 07/04/2005 08/03/2015 10438.27
941 09/30/2000 25-1806931 07/04/2005 08/03/2015 9570.59
941 12/31/2000 25-1806931 07/04/2005 08/03/2015 9058.52
941 03/31/2001 25-1806931 06/13/2005 07/13/2015 9850.47
941 06/30/2001 25-1806931 06/13/2005 07/13/2015 9758.90
941 09/30/2001 25-1806931 07/11/2005 08/10/2015 11799.56
941 12/31/2001 25-1806931 07/11/2005 08/10/2015 13174.07
941 03/31/2002 25-1806931 OS/23/2005 06/22/2015 13326.14
941 06/30/2002 25-1806931 OS/23/2005 06/22/2015 8329.16
Place of Filing
Prothonotary
Cumberland County Total $ 160349.11
Carlisle, PA 17013
This notice was prepared and signed at
PHILADELPHIA, PA
. on this.
07th day of October
2005
the
for CINDY
tl fI'~
Title
REVENUE OFFICER
(717) 221-3490
23-09-1459
Signature
(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) IRev, 2-20041
CAT. NO 60025X