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499
Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien
(Rev. October 2000) lU. 0..2- IoN f7L
Area: Serial Number For Optional Use by Recording Office
WAGE & INVESTMENT AREA #2 i?J. ' 9.(JU (J1/
Lien Unit Phone: (800) 829-7650 230285247
As provided by section 632 t, 6322, and 6323 of the Internal Revenue CJ:.. lOr.,
Code, we are giving a notice that taxes (Including Interest and penalties)
have been assessed against the following-named taxpayer. We have made /6.v. /.N '/ t1
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 (') C) ()
additional penalties, Interest, and costs that may accrue. c N .,
S. 3: I
Name of Taxpayer JEROME L & JULIE E BEERS "Ocr. :;-:& -~l
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Residence 100 SMITH RD !<:G ~ .,
NEWVILLE, PA 17241-9506 ~o <}2~
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, =< r" '<
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 ng of Assessment
(a) (b) (c) . (d) (e) en
1040 12/31/1996 283-74-4208 09/29/1997 10/29/2007 7465.90
1040 12/31/1997 283-74-4208 09/28/1998 10/28/2008 9917.43
1040 12/31/1998 283-74-4208 OS/22/2000 06/21/2010 11105.07
1040 12/31/1999 283-74-4208 OS/22/2000 06/21/2010 6653.95
1040 12/31/2000 283-74-4208 OS/28/2001 06/27/2011 2257.75
Place of Filing
Prothonotary Total $
Cumberland County 37400.10
Carlisle, PA 17013
This notice was prepared and signed at
PITTSBURGH, PA
, on this,
the
25th day of February
2002
for P
Title
ACS
(800) 829 7650
12-00-0000
(NOTE: Certificate of officer authorized by law to tak 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. 10-00)
CAT. NO 60025X