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Department of the Treasury -Internal Revenue Service
Form 668 (Y)(c)
(Rev. February 2004) Nonce Of Federal Tax Lien .~ ~~ ~ ~~~ `~, ~,T~
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050
424962608
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As provided by section 6321, 6322, and 6323 of the Internal Revenue ~ ~
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Code, we are giving a notice that taxes (including interest and penalties) ~ ~
have been assessed against the following-named taxpayer. We have made
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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. ~ o
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Name of Taxpayer MARK K MARTIN ~f
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Residence 55 ARMY HERITAGE DRIVE ~ ~ y,.
CARLISLE, PA 17013-8858 ~` ~ ?wn
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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,
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on the day following such date, operate as a certificate of release as defined
in IRC 6325(a).
Tax Period Date of Last D for lJnpaid Balance
Kind of Tax Ending Identifying Number Assessment Refi~ng of Assessment
(a) (b) (c) (d) (e) (f)
940 12/31/2004 25-1827761 04/11/2005 05/11/2015
940 12/31/2004 25-1827761 05/28/2007 06/27/2017 1021.13
941 03/31/2006 25-1827761 12/18/2006 01/17/2017 15427.75
941 06/30/2006 25-1827761 11/06/2006 12/06/2016 9315.11
941 09/30/2006 25-1827761 01/01/2007 01/31/2017 6214.02
941 12/31/2006 25-1827761 08/27/2007 09/26/2017 18058.66
941 03/31/2007 25-1827761 06/25/2007 07/25/2017 13689.27
941 06/30/2007 25-1827761 09/17/2007 10/17/2017 13892.60
941 09/30/2007 25-1827761 01/07/2008 02/06/2018 1230.21
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 78848.75
This notice was prepared and signed at
the 27th day of February
DETROIT, MI
2008
on this,
Signature ~ y ~~~ Title _-
REVENUE OFFICER 22-06-1442
for DAVID M. SHROYER (717) 777-9625 x1320
(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(n(c) (Rev. 2-2004)
Part 1 -Kept sY Recording Office CAT. NO 60025X