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11799
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien /to.O (,. 7/ J>l/ r= rL
Form 668 (Y)(C)
(Rev. February 2004)
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #2
lien Unit Phone: (BOO) 913-6050 332434606
As provided by section 632 t, 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 DONALD J KARASCHAK
For Optional Use by Recording Office
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Residence
520 MOORES MT RD
MECHANICSBURG, PA 17055-0000
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 Da.r. for Unpaid Balance
Kind of Tax: Ending Identifying Number Assessment Refi ng of Assessment
(a) (b) (c) Cd) (e) (0
1040 12/31/2002 XXX-XX-1287 02/27/2004 03/29/2014
1040 12/31/2002 XXX-XX-1287 10/16/2006 11/15/2016 94168.08
1040 12/31/2003 XXX-XX-1287 02/27/2006 03/28/2016
1040 12/31/2003 XXX-XX-1287 10/16/2006 11/15/2016 100498.32
1040 12/31/2004 XXX-XX-1287 02/27/2006 03/28/2016
1040 12/31/2004 XXX-XX-1287 10/16/2006 11/15/2016 108166.83
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $
302833.23
This notice was prepared and signed at
DETROIT, MI
, on this,
the
06th day of December
2006
for DAVID M. SHROYER
Title
REVENUE OFFICER
(717) 221-3490 x1320
22-06-1442
Signature
(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