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3114
Department of the Treasury - Internal Revenue Service
Form 668 (Y)( c)
Notice of Federal Tax Lien
7lv.or,. ..5.5:'6 Fr'-
For Optional Use by Recording Office
(Rev. February 2004)
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 829-3903 316692706
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including interest and penalties)
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.
Name of Taxpayer SHARON C PURPURA
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Residence
113 W MAIN ST
MECHANICSBURG, PA 17055-6228
IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice of the lien is refiled 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).
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Tax Period Date of Last Day for
Kind of Tax Ending Identifying Number Assessment Refihng
(a) (b) (c) (d) (e)
CIVP 12/31/2002 XXX-XX-1998 02/21/2005 03/23/2015
CIVP 03/31/2003 XXX-XX-1998 02/21/2005 03/23/2015
CIVP 06/30/2003 XXX-XX-1998 02/21/2005 03/23/2015
CIVP 09/30/2003 XXX-XX-1998 02/21/2005 03/23/2015
CIVP 12/31/2003 XXX-XX-1998 02/21/2005 03/23/2015
CIVP 03/31/2004 XXX-XX-1998 02/21/2005 03/23/2015
Unpaid Balance
of Assessment
(0
3883.76
3056.02
4133.75
3361.30
2740.16
3320.83
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $
This notice was prepared and signed at
DETROIT, MI
the 14th day of September, 2006
Signature
Title
ACS
(8PO) 829-3903
22-00-0008
for REGINA OWENS
20495.82
, on this,
Part 1 - Kept By Recording Office
(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. 409)
Form 668(Y)(c) (Rev. 2-2004)
CAT. NO 60025X