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10-3590
11883 Department of the Treasury - Internal Revenue Service Form 668 ( Notice of Federal Tax Lien (Rev. February 2 2004) 004) nn ?y ? D - S'7 d r ' ?- Serial Number For Optional Use by Recording Office Area: WAGE & INVESTMENT AREA #1 Lien Unit Phone: (800) 829-7650 659610410 'q Pp I?l.1=F ) ( )310 C As provided by section 6321, 6322, and 6323 of the Internal Revenue Code, we are giving a notice that taxes (including interest and penalties) aya938 have been assessed against the following-named taxpayer. We have made a demand for payment of this liability, but it remains unpaid. Therefore, N©; there is a lien in favor of the United States on all property and rights to ea " property belonging to this taxpayer for the amount of these taxes, and additional penalties, interest, and costs that may accrue. Name of Taxpayer MARK EDMONDS Residence 2248 ORCHARD RD to CAMP HILL, PA 17011-7445 W 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). Tax Period Date of Last Day for Unpaid Balance Kind of Tax Ending Identifying Number Assessment Refiling of Assessment (a) (b) (c) (d) (e) (f) 1040 12/31/2008 XXX-XX-4426 06/01/2009 07/01/2019 1266.92 Place of Filing Prothonotary Cumberland County Carlisle, PA 17013 Total 1 $ 1266.92 This notice was prepared and signed at the 25th day of May DETROIT, MI 2010 , on this, Signature A ATitle 11-00-0000 CS 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