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Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c)
(Rev. February 2004) Notice of Federal Tax Lien
Are
: Serial Number For Optional Use by Recording Office
a
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 878689712
l R
evenue
As provided by section 6321, 6322, and 6323 of the Interna
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.
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Name of Taxpayer JOHN B & NANCY M DYMOND c_
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Residence
104 LOGAN LN N--=? -4'=
SHIPPENSBURG, PA 17257-9266 :{c-;
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RELEASE INFORMATION: For each assessment listed below,
IMPORTANT
IM
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7
unlf the lien is refiled by the date g iven in column (e), this notice shall,
7notice
on lowing such date, operate as a certificate of release as defined
`
77
in I). 72 7
/
Tax Period Date of Last Da for Unpaid Bal n4
Kind of Tax Ending Identifying Number Assessment Refilling of Assess nt
(a) (b) (c) (d) (e) (f)
1040 12/31/2011. XXX-XX-3169 05/28/2012 06/27/2022 3385.40
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 1701.3
Total 1$ 3305.40
This notice was prepared and signed at
the 29th day of June
DETROIT, MI
2012
on this,
Signature RTitle i
EVENUE OFFICER 22-0I6-2620
for JACOB `KAISER (304) 263-7625
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal T x 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
Form 668 (Z)
(Rev. 10-2000)
11883 Department of the Treasury - Internal Revenue Service
Certificate of Release of Federal Tax Lien
Area: •
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050
Serial Number
878689712
For Use by Recording Office
tLED-Oi }"lC _., . .
uF THE PRCTHONOl/
2Q14OEC -5 Pill: 07
CUMBERLAND COUNTY w
PENNSYLVANIA
4�
I certify that the
of the Internal
additions. Therefore,
additions has
internal revenue
2012
following -named taxpayer,
Revenue Code has
the lien provided
been released. The
tax lien was filed
, is authorized to note
additions.
under the requirements of section 6325 (a)
satisfied the taxes listed below and all statutory
by Code section 6321 for these taxes and
proper officer in the office where the notice of
on July 09
the books to show the release of this lien for
,
these taxes and
Name of Taxpayer
JOHN B & NANCY M DYMOND.
Residence 104 LOGAN LN i
SHIPPENSBURG, PA 17257-9266
COURT RECORDING INFORMATION:
Liber Page UCC No. Serial No.
n/a n/a n/a 12-4257
Kind of Tax
(a)
Tax Period
Ending
(b)
Identifying Number
(c)
Date of
Assessment
(d)
Last Day for
Refiling
(e)
Unpaid Balance
of Assessment
(f)
1040
**************************************************************************
12/31/2011
XXX -XX -3169
I
I
05/28/2012
06/27/2022
3385.40
Place of Filing
Prothonotary
Cumberland County Total
Carlisle, PA 17013
$ 3385.40
This notice was prepared and signed at DETROIT, MI , on this,
the 26th day of November , . 2014
Signature
Title Director, Specialty Collections
(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 I - RECORDING OFFICE CAT. NO 600261