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1872
Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien
(Rev. February 2004) 7lc () (, - IS i/ FrL
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2 ..flt.f~~NL'll
Lien Unit Phone: (800) 829-3903 279366406
As provided by section 6321, 6322, and 6323 of the Internal Revenue Cf<... f/l-J
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made /2ev i7S11J
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 DOLORES J HABECKER
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Residence 1715 LETCHWORTH ROAD , ::J;: :r
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CAMP HILL, PA 17011-7529 ::0 rnl}
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, '~i()
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unless notice of the lien is reWed by the date given in column (e), this notice shall, , ;'):~]
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on the day following such date, operate as a certificate of release as defined ~S ~y 6rrJ
in IRe 6325(a). -,
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Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilmg of Assessment
(a) (b) (c) (d) (e) (f)
CIVP 03/31/2001 XXX-XX-0617 02/21/2005 03/23/2015 5897.54
CIVP 06/30/2001 XXX-XX-0617 02/21/2005 03/23/2015 8977 _ 41
CIVP 09/30/2001 XXX-XX-0617 02/21/2005 03/23/2015 14674.10
CIVP 12/31/2001 XXX-XX-0617 02/21/2005 03/23/2015 9069 _ 71
CIVP 12/31/2002 XXX-XX-0617 02/21/2005 03/23/2015 1930.18
CIVP 03/31/2003 XXX-XX-0617 02/21/2005 03/23/2015 6358.63
CIVP 06/30/2003 XXX-XX-0617 02/21/2005 03/23/2015 4116.68
CIVP 12/31/2003 XXX-XX-0617 02/21/2005 03/23/2015 1839.75
Place of Filing
Prothonotary
Cumberland County Total $ 52864.00
Carlisle, PA 17013
This notice was prepared and signed at
DETROIT, MI
, on this,
the
15th day of March
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.B. 4091
Part 1 . Kept By Recording Olliee
Form 668(Y)(e) IRev. 2-20041
CAT. NO 60025X