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1872
Department of the T,easu,y - Internal Revenue Se,vice
Form 668 (Y)(c) Notice of Federal Tax Lien
(Rev. February 2004) h.,};- . S'l'l P,L
A,ea: Se,ial Numbe, For Optional Use by Recording Office
WAGE & INVESTMENT AREA #1 tit. {'if' Q Iroo
Lien Unit Phone: (800) 829-7650 268049406
As provided by section 6321, 6322, and 6323 of the Internal Revenue Ck- ~ J.(, 'f
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made u2u-, /73517
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 PRESTON J & MARGARET E JACKSON
CO"~ - -'
"l/
,
Residence 413 ROSS AVE # A
NEW CUMBERLND, PA 17070-2619 r-.:-
C,)
IMPORTANT RELEASE INFORMATION: Fo, 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 DarT. for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilng of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/1995 XXX-XX-3330 OS/20/1996 06/19/2006 3129.36
1040 12/31/1996 XXX-XX-3330 07/12/1999 08/11/2009 2345.75
1040 12/31/1997 XXX-XX-3330 06/01/1998 07/01/2008 1334.62
Place of Filing
Prothonotary
Cumberland County Total $ 6809.73
Carlisle, PA 17013
This notice was prepa,ed and signed at
DETROIT, MI
, on this,
the
13th day of January
2006
for DEBRA K.
Title
ACS
(800) 829-7650
11-00-0000
Signatu,e
{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}
Pan 1 . Kept By Recording Office
Form 668(Y)(c) (Rev. 2-20041
CA T. NO 60025X