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09-2783
Form 668 (Y)(c) (Rev. February 2004) 4 Department of the Treasury - Internal Revenue Service Notice of Federal Tax Lien Area: Serial Number WAGE & INVESTMENT AREA #1 Lien Unit Phone: (800) 829-7650 539717609 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 ORAY DIXON Residence 143 15TH ST APT 7 NEW CUMBERLND, PA 17070-1100 IMPORTANT RELEASE INFORMATION: For each assessment listed below, unless notice of the lien is refiled by the date given in column (a), this notice shall, on the day following such date, operate as a certificate of release as defined in IRC 6325(a). For Optional Use by F A P? 4/9 ut CA__ ` S "f s asox? Tax Period Date of Last D for Kind of Tax Ending Identifying Number Assessment ReflUng (a) (b) (c) (d) (e 3.040 12/31/1998 XXX-XX-7384 09/08/2003 10/08/2013 Place of Filing 4423.24 Prothonotary Cumberland County Carlisle, PA 17013 Total 1$ 4423.24 This notice was prepared and signed at DETROIT, MI the 23rd day of April 2009 , on this, Title Signature A A 11-00-0000 CS for DEBRA K. HURST (800) 829-7650 P,.3 rrL- )cordina Office N © C) _ ? Fri r - - m -`' 47 =J C9'1 Unpaid Balance of Assessment (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 11883 Department of the Treasury - Internal Revenue Service Form "S (Z) (Rev. 10-2000) Certificate of Release of Federal Tax Lien Area: Serial Number For Use by Recording Office WAGE & INVESTMENT AREA #1 Lien Unit Phone: (800) 913-6050 539717609 1 certify that the following-named taxpayer,under the requirements of section 6325(a) of the Internal Revenue Code has satisfied the taxes listed below and all statutory C-) o - additions. Therefore, the lien provided by Code section 6321 for these taxes and C additions has been released. The proper officer in the office where the notice of -tai rstCf7 internal revenue tax lien was filed on May 04 = 2009 , is authorized to note the books to show the release of this lien forC w these taxes and additions. �.m Ell --tG Name of Taxpayer "cam 9" 3>c7 JC �-- ORAY D I XON 2 c-? Z' -i.j- - °�> N _ Residence 14 3 15TH ST APT 7 NEW CUMBERLND, PA 17070-1100 COURT RECORDING INFORMATION: Liber Page UCC No. Serial No. n/a n/a n/a 09-2783 ` aid Ppdod Kind of Tax T End Ident ryft Number Daft of R Assessment a b c d • f 1040 12/31/1998 XXX-XX-7384 09/08/2003 10/08/2013 4423 .24 ******** ********** ************* ********** ************ **************** Place of Filing Prothonotary Cumberland County Total $ 4423 .24 Carlisle, PA 17013 This notice was prepared and signed at DETROIT, MI , on this, the 13th day of March 1 2013 Signature Title Operations Manager Case Processing-Lien Unit (NOTE: Certificate of officer authorized by law to take acknowledgments is not essential to the validity of Certificate of Release of Federal Tax lien Rev. Rul. 71-466, 1971 -2 C.B.409) Form 668(Z) (Rev. 10-2000) Part 1 -RECORDING OFFICE CAT. NO 600261