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4687
Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien
(Rev. February 2004) n".iH. . ~" <; /) F-rL-
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2 h.P-,#, IIY.tJfJ
Lien Unit Phone: (800) 913-6050 282471806
As provided by section 6321, 6322, and 6323 of the Internal Revenue cJL /..5 n
Code, we are giving a notice that taxes (including interest and penalties) ,tL. /??.19:L-
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 () "" 0
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property belonging to this taxpayer for the amount of these taxes, and ,,"
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additional penalties, Interest, and costs that may accrue. -"", I--n
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Name of Taxpayer RICHARD L STARK -j"..m
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Residence --~
1435 HILLCREST COURT APT 107 .5(-n
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CAMP HILLG, PA 17011 ~:o
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IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice of the lien is retiled 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 DM. for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Ref! ng of Assessment
(a) (b) (c-) (d) (e) en
1040 12/31/2002 XXX-XX-4986 11/03/2003 12/03/2013 13214.94
1040 12/31/2003 XXX-XX-4986 11/22/2004 12/22/2014 11825.16
1040 12/31/2004 XXX-XX-4986 11/07/2005 12/07/2015 11676.10
Place of Filing
Prothonotary
Cumberland County Total $ 36716.20
Carlisle, PA 17013
This notice was prepared and signed at
DETROIT, MI
t on this,
03rd day of April
2006
the
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. 409)
Part 1 . Kept By Recordlnl Office
Form 668(Y)(c) IRev. 2-2004}
CAT. NO 60025X