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11799
Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c)
Notice of Federal Tax Lien
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For Optional Use by Recordirlg Office
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(Rev. February 2004)
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 829-3903 325914106
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 DAVID W OTTER
Residence
243 N MIDDLESEX RD
CARLISLE, PA 17013-8490
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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 IRe 6325(a).
Tax Period Date of Last Day for Unpaid II alance
Kind of Tax Ending Identifying Number Assessment Refillng of Asses ment
(a) (b) (c) (d) (e) (f
1040 12/31/1989 XXX-XX-1682 04/14/1997 05/14/2007 294.66
1040 12/31/1992 XXX-XX-1682 04/14/1997 05/14/2007 003.15
1040 12/31/1993 XXX-XX-1682 04/14/1997 05/14/2007 607.51
1040 12/31/2004 XXX-XX-1682 09/19/2005 10/19/2015 I
I 973.09
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Prothonotary
Cumberland County
Carlisle, PA 17013
Total $
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~878.41
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Place of Filing
This notice was prepared and signed at
DETROIT, MI
, on this,
the
01st day of November
2006
Signature
Title
ACS
(800) 829-3903
2 -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. Rul. 71-466,1971 - 2 C,B. 409) Form 668(Y)(c): (Rev. 2-2004)
Part 1 - Kept By Recording Office CAT; NO 60025X