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3114
Department of the Treasury - Internal Revenue Service
Form 668 (Y)(C)
(Rev. February 2004)
Notice of Federal Tax Lien
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Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 829-3903 322690406
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 TIMOTHY C BEEMER
For Optional Use by Recording Office
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Residence
PO BOX 182
NEW CUMBERLND, PA 17070-0182
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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 IRC 6325(a).
Tax: Period Date of Last Da.r. for Unpaid Balance
Kind of Tax: Ending Identifying Number Assessment Refilng of Assessment
(a) (b) (c) (d) (e) (I)
1040 12/31/1997 XXX-XX-6535 03/20/2000 04/19/2010 542.48
1040 12/31/2001 XXX-XX-6535 OS/20/2002 06/19/2012 93.27
1040 12/31/2003 XXX-XX-6535 02/07/2005 03/09/2015 7517.53
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $
8153.28
This notice was prepared and signed at
DETROIT, MI
, on this,
the
17th day of October
2006
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 Recording Office
Form 668(Y)(c) (Rev. 2-2004)
CAT. NO 60025X