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3370 .
Department of the Treasury - Internal Reven e Service
Form &&8 (Y)( c) Notice of Federal Tax Lien
(Rev. February 2004) JU, 0(. . ;;,;f9 F11- ,
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2 PeL. P'-1( 1', ~ ,lID
Lien Unit Phone: (800) 913-6050 293294506
As provided by section 6321, 6322, and 6323 of the Internal Revenue ':.Ie, 70'/7
Code, we are giving a notke that taxes (Including Interest and penaldes)
have been assessed against the following-named taxpayer. We have made 02u-. /7f'NI
a demand for payment of this liability, but k remains unpaid. Therefore,
there Is a lien In favor of the Unked States on all property and r1ghU 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 KATHLEEN R BUSH "LJ ;~:- '- ::;:l
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Residence 3107 HARVARD AVENUE Con ~":i6
CAMP HILL, PA 17011 " --,-"'1,
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, ~"-i
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unless notice of the lien is refiled by the date given in column (e), this notice shall, N -<
on the day following such date. operate as a certificate of release as defined
in IRe 6325(a),
Tax Perlocl Date of Last~1 for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment ~g of Assessment
(a) (b) (c) (d) (e' (0
6672 03/31/2003 XXX-XX-1452 03/06/2006 04/05 2016 1435,26
6672 06/30/2003 XXX-XX-1452 03/06/2006 04/05 2016 3529,39
6672 09/30/2003 XXX-XX-1452 03/06/2006 04/05 2016 3062,55
6672 12/31/2003 XXX-XX-1452 03/06/2006 04/05 2016 5138,05
6672 03/31/2004 XXX-XX-1452 03/06/2006 04/05 2016 4221,06
6672 06/30/2004 XXX-XX-1452 03/06/2006 04/05 2016 4600,61
6672 09/30/2004 XXX-XX-1452 03/06/2006 04/05 2016 4315,45
6672 12/31/2004 XXX-XX-1452 03/06/2006 04/05 2016 2655,66
6672 03/31/2005 XXX-XX-1452 03/06/2006 04/05 2016 3651,53
6672 06/30/2005 XXX-XX-1452 03/06/2006 04/05 2016 2987,62
Place of Filing
Prothonotary
Cumberland County Total $ 35597,18
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI , on this,
the 23rd day of May 2006
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Signature . ff. !! 'Yru -17/, /JI Title
ACS 22-00-0008
for REGINA OWENS (800) 829-390
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to th validity of Notice of Federal Tax lien
Rev, Rul. 71-466.1971 - 2 C,8, 409) Form 668(Y)(c) (Rev, 2-2004)
Pan 1 - Kept By Recording Office CAT, NO 6OO25X