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499 Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien
(Rev. August 1997)
District Serial Number For Optional Use by Recording Office
PENNSYLVANIA 230063339 J1Cb - G lQ1-FTl,
As provided by section 6321, 6322, and 6323 of the Internal Revenue (') a 0
Code, we are giving a notice that taxes (including interest and penalties) c: a -n
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have been assessed against the following-named taxpayer. We have made -005 ("')
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a demand for payment of this liability, but it remains unpaid. Therefore, z':~;j ,
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there is a lien in favor of the United States on all property and rights to s::- 'r
property belonging to this taxpayer for the amount of these taxes, and ,"~,1
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additional penalties, interest, and costs that may accrue. )::;:c- -',",,"' !';~~2 ;~;'5
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Name of Taxpaver RAYMOND L KANN ~
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Residence P 0 BOX 166 cNt 15340Cf
WALNUT BOTTOM, PA 17266-0166
IMPORTANT RELEASE INFORMATION: For each assessment listed below, R.tf 101 tee ~
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 1100\1>
in IRC 6325(a).
Tax Period Date of Last Day for Unpaid Balan4:e
Kind of Tax Ending Identifying Number Assessment Refilmg of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/1996 186-36-6932 09/21/1998 10/21/2008 6056.17
1040 12/31/1997 186-36-6932 OS/25/1998 06/24/2008 2091.08
Place of Filing
Prothonotary Total $
Cumberland County 8147.25
Carlisle, PA 17013
This notice was prepared and signed at
PITTSBURGH, PA
, on this,
the 12th davof September, 2000
Signature J.
for LOIS DOwn
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Title
ACS 23-01-0000
(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,8, 409) Form 668(Y)(c) (Rev, 8-97)
Part 1 - Kept By Recording Office CAT. NO 60025X