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3381
Department of the Treasury - Internal Revenue Service
Form 668 (Y)( c) Notice of Federal Tax: Lien
(Rev. February 2004) 71.,,_ O/... . ;;sq/ FrL
Area: Serial Number For Optional Use by Recording Office
WAGE & INVESTMENT AREA #1 Pa, /1Y' '/'f.1lV
Lien Unit Phone: (800) 829-7650 283736606
As provided by section 6321, 6322, and 6323 of the Internal Revenue CA- </77(,
Code, we are giving a notice that taxes (including interest and penalties) /71sd
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. (') ""
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Name of Taxpayer BRUCE G TOOLE "TJ~ ..... "TI
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Residence (/}),o- I
116 4TH AVE -....-.;.- CJl
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NEW CUMBERLND, PA 17070-1958 "l..
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, c: ~
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unless notice of the lien is refiled by the date given in column (e), this notice shall, =< W
on the day following such date, operate as a certificate of release as defined W -<:
in IRe 6325(a).
Tax Period Date of Last D1; for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refi mg of Assessment
(a) (b) Ie) Id) (e) (f)
1040 12/31/2001 XXX-XX-7536 02/21/2005 03/23/2015 25192,72
Place of Filing
prothonotary
Cumberland County Total $ 25192.72
Carlisle, PA 17013
This notice was prepared and signed at
DETROIT, MI
, on this,
11th day of April
2006
the
Signature
Title
ACS
(800) 829-7650
11-00-0000
for DEBRA K. HURST
(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. 4091
Part 1 - Kept By Recording OffIce
Form 668(Y)(c) (Rev. 2-2004)
CAT. NO 60025X