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Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
Form 668 (Y)(C)
(Rev. August 1997)
District
Serial Number
For Optional Use by Recording Office
PENNSYLVANIA 230065782
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 EMORY G & CATHERINE M JOHNSON JR
00.,7070 Fit:-
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Residence
2225 RITNER HWY
SHIPPENSBURG, PA 17257-9755
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I. 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).
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Tax Period Date of Last D?; for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refi mg of Assessment
(a) (b) (c) (d) (e) (0
1040 12/31/1996 184-48-3023 06/01/1998 07/01/2008 1345.55
1040 12/31/1997 184-48-3023 11/22/1999 12/22/2009 11936.27
1040 12/31/1998 184-48-3023 07/05/1999 08/04/2009 8005.32
1040 12/31/1999 184-48-3023 06/05/2000 07/05/2010 9369.48
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $
30656.62
This notice was prepared and signed at
PITTSBURGH, PA
, on this,
the 27th day of ,September, 2000.;
Signature
for LOIS DOWD
"'"'<'l\>
Title
ACS 23-01-0008
(MOTE: 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. 4091 Form 668(Y)(c) (Rev. B-971
Part t . Kept By Recording Office CAT. NO 60025X