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Form 668 (Y)(¢)
(Rev. October 2000)
Area: J Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #3
lien Unit Phone: (800) 829-3903 230292071
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.
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien ,Ti&,.
For Optional Use by Recording Office
Name of Taxpayer STACY L NAPOITAN
Residence PO BOX 145
PLAINFIELD, PA 17081-0145
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).
Kind of Tax
(a)
Tax Period
Ending
(b)
12/31/1998
Identifying Number
(c)
Date of
Assessment
(d)
Last Day for
Refihng
(e)
184-64-3762
03/21/2011
Prothonotary
Cumberland County
Carlisle, PA 17013
02/19/2001
Total
Unpaid Balance
of Assessment
(f)
8276.33
1040
Place of Filing
8276.33
This notice was prepared and signed at
PITTSBURGH, PA
, on this,
the 09th day of July 2002
ACS 23'-00-0008
(800)
829-3903
(NOTE: Certificate of officer authorized by law to take~J~'knowledgment is not essential to the validity of Notice of Federal Tax lien
Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 668(¥)(¢) (Rev. 10-00)
Part t - Kept By RecordJng Office CAT. NO 60025X