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1872
Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien Ylc " .) 5
(Rev. February 2004) .do," & I FTL
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #3 1-:" hH Ii' /'1. """
Lien Unit Phone: (800) 829-3903 26053600~)
As provided by section 6321, 6322, and 6323 of the Internal Revenue Cf.!.. /3.9
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made (~. /7/ t-3J.-.-
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.
Name of Taxpayer RACHEL FARKAS \~)
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:::.1
Residence 3350 SPRING RD ,..
CARLISLE, PA 17013-8735 :
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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, f'.)
on the day following such date, operate as a certificate of release as defined c') -,,!
in IRe 6325(al. -
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Tax Period Date of Last Da.r. for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refi 109 of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2000 146-76-8301 12/06/2004 01/05/2015 33730.51
1040 12/31/2002 146-76-8301 02/16/2004 03/18/2014 126.51
Place of Filing
Prothonotary
Cumberland County Total $ 33857.02
Carlisle, PA 17013
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the
22nd day of November
2005
for L LEDER
aff~
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. 409)
Part 1 - Kept By Recording Office
Form 668(Y)(c) IRev. 2-20041
CAT. NO 60025X