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4682
Department of the Treasury. Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien
(Rev. February 2004} YLo.OI., /30? rrL
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2 rl f!ff PI'/oo
Lien Unit Phone: (800) 913-6050 275909606
As provided by section 6321, 6322, and 6323 of the Internal Revenue CP~ 3;13/
Code, we are giving a notice that taxes (including interest and penalties) frL )70 3 i.-
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. I
_.- ,. ~~
Name of Taxpayer MYLES H SHOOP JR . .
,1--
,
I
,--,.'
Residence --
813 CAROL CIR -
NEW CUMBERLAND, PA 17070-1418 "
,.
" j
c.
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 Day for Unpaid Batance
Kind of Tax Ending Identifying Number Assessment Refilmg of Assessment
(a) (b) (c) (d) (e) (f)
1040 12)31)2002 XXX-XX-0691 12)22)2003 01)21)2014 2231.75
Place of Filing
Prothonotary
Cumberland County Total $ 2231.75
Carlisle, PA 17013
This notice was prepared and si9ned at
DETROIT, MI
, on this,
the
22nd day of February
2006
Signature
Title
ACS
(800) 829-3903
22-00-0008
for REGINA OWENS
(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,8, 409)
Part t . Kept By Recording Office
Form 668(Y)(c) (Rev, 2.2004)
CAT, NO 60025X