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1872
Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien
(Rev. February 2004) Y1".fll..I.J~H fi::'rt...
Area: Serial Number For Optional Use by Recordlna Office
SMALL BUSINESS/SELF EMPLOYED AREA #2 P..t. /.t({ I'I'(,I/i)
Lien Unit Phone: (800) 829-3903 305478206
A5 provided by section 632 t, 6322, and 6323 of the Internal Revenue fk /o/.:J./
Code, we are living a notice that taxes (Including Interest and penalties)
have been assessed against the followlng-named taxpayer. We have made (.!<<.., /<;/3;1 '1
a demand for payment of this UablIIty, but k remains unpaid. Therefore,
there Is a lien In favor of the United States on all property and rights to ~ ~. ~
property beIoneing to this taxpayer for the amount of these taxes, and
additional penalties, Interest, and costs that may accrue. ;:gco "'" 1
n-: c::
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Name of Taxpayer STEPHEN D & JEAN E TUCKER z-'" L
Cfl~; I
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Residence z ' ::Jl:
1 QUEEN ANNE CT )><:,:" ~
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CAMP HILL, PA 17011-1733 ~
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IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice of the lien is reflled 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 ~ Tax Ending Identifying Number Assessment Ref! ng of A5~t
(a (b) (c-) ldl (e)
1040 12(31(2004 XXX-XX-7568 05(30(2005 06(29/2015 8745.78
1040 12(31(2005 XXX-XX-7568 05(22/2006 06/21/2016 15835.50
Place of Filing
Prothonotary
Cumberland County Total $ 24581.28
Carlisle, PA 17013
This notice was prepared and signed at
DETROIT, MI
, on this,
the
27th day of July
2006
Signature . fl.
for REGINA OWENS
Title
ACS
(800) 829-3903
22-00-0008
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of FederaJ Tax Jien
Rev. Ru!. 71-466.1971 - 2 C.B. 409)
Part 1 . Kept By Recording 0Ifke
Form 66B(Y)(c) IRev. 2-2004)
CA T. NO 60025X