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Department of the Treasury -Internal Revenue Service
Form 668 (Y)(c)
(Rev. February 20041 Notice of Federal Tax Lien ~ n ~,_ ~~,;. ~ c ri_
Area: Serial Number For Optional Use by Recording Office
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (800) 829-7650
377376407
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As provided by section 6321, 6322, and 6323 of the Internal Revenue ~ ~~ ~ po
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made ~ / 9s'~ ~ ~
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 ~ ~ o
additional penalties, interest, and costs that may accrue. -
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Name of
axpayer DWAYNE K DANNER - ~
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Residence 4 8 5 SLASEMANS DR # 3 ~'
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NEW CUMBERLND, PA 17070-3107 -~ _ ~ ~~~
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IMPORTANT RELEASE INFORMATION: For each assessment listed below ~' "~
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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 Dayy for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refili ng of Assessment
(a) (b) (c) (d) (e) (~
1040 12/31/2001 XXX-XX-2499 04/12/2004 05/12/2014 5242.53
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 5242.53
This notice was prepared and signed at
the 12th day of July
DETROIT, MI
2007
on this,
Signature ~ y ~/ti~~~~ Title
ACS 11-00-0000
for DEBRA K. HURST (800) 829-7650
(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