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1872
Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien
lu., 0 ~\ , .. 5l'/ 7 F TL
(Rev. February 2004)
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #3 dL 1-:'11 ' /'1 c~)
Lien Unit Phone: (800) 829-3903 254816805
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including interest and penalties) CP~ ;!j~ ,(
have been assessed against the following-named taxpayer. We have made
a demand for payment of this liability, but it remains unpaid. Therefore, n /'103,P
there is a lien in favor of the United States on all property and rights to J~,<.-.
property belonging to this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs that may accrue. .,
Name of Taxpayer GERALD B HABECKER ,
"
Residence 1715 LETCHWORTH RD ..'..
CAMP HILL, PA 17011-7529 -
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 IRe 6325(a).
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)
CIVP 03/31/2001 188-32-3160 02/21/2005 03/23/2015 6111.54
CIVP 06/30/2001 188-32-3160 02/21/2005 03/23/2015 8977.41
CIVP 09/30/2001 188-32-3160 02/21/2005 03/23/2015 14674.10
CIVP 12/31/2001 188-32-3160 02/21/2005 03/23/2015 9069.71
CIVP 12/31/2002 188-32-3160 02/21/2005 03/23/2015 1930.18
CIVP 03/31/2003 188-32-3160 02/21/2005 03/23/2015 6358.63
CIVP 06/30/2003 188-32-3160 02/21/2005 03/23/2015 4116.68
CIVP 12/31/2003 188-32-3160 02/21/2005 03/23/2015 1839.75
Place of Filing
Prothonotary
Cumberland County Total $ 53078.00
Carlisle, PA 17013
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the
20th day of October
2005
for L LEDER
tl fI~
Title
ACS
(800) 829-3903
23-00-0008
Signature
(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. 4091
Part 1 - Kept By Recording Office
Form 668(Y)(c) IRev. 2-20041
CAT. NO 60025X