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Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c)
Notice of Federal Tax Lien
(Rev. February 2004)
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 818424611
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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 c
additional penalties, interest, and costs that may accrue. -?
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Name of Taxpayer EMORY G JOHNSON JR ' -1 -o
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Residence 530 DOUBLING GAP RD
NEWVILLE, PA 17241-9438 (Z;
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PORTANT RELEASE INFORMATION: For each assessment listed below, 4:
ss notice of the lien is refiled by the date given in column (e), this notice shall,
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he day following such date, operate as a certificate of release as defined •
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RC 6325(a).
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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 12/31/2000 XXX-XX-3023 12/25/2006 01/24/2017 26766.60
1040 12/31/2001 XXX-XX-3023 12/25/2006 01/24/2017 21710.20
1040 12/31/2003 XXX-XX-3023 12/25/2006 01/24/2017 12349.78
1040 12/31/2005 XXX-XX-3023 05/19/2008 06/18/2018 26829.12
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 87655.70
This notice was prepared and signed at DETROIT, MI
the 03rd day of October 2011
, on this,
Signature Title
REVENUE OFFICER 22-06-1408
for MIGNA RODRIGUEZ (717) 777-9622
(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