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3460
Department of the Treasury -Internal Revenue Service
Form 668 (Y)(c)
(Rev. February 2004) Notice of Federal Tax Lien
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 906389812 021.50 P+~ ~
As provided by section 6321, 6322, and 6323 of the Internal Revenue e~ o?8~y5~
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, c-., ,..,,, '~ ='
there is a lien in favor of the lJnited States on all property and rights to ~= T'
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property belonging to this taxpayer for the amount of these taxes, and r`~r., ~ ~ ^s
additional penalties, interest, and costs that may accrue. _° ~`~ `~ ~"
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Name of Taxpayer DENNIS J GRADY .
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Residence 1852 POTATO VALLEY RD "' C'' _ °
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HARRISBURG , PA 17112 - 9 2 2 0 _
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IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice of the lien is refiled by the date given in column le), 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 Dayy for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (f)
6672 03/31/2009 XXX-XX-3537 03/14/2011 04/13/2021 7278.90
6672 06/30/2009 XXX-XX-3537 03/14/2011 04/13/2021 43641.82
6672 09/30/2009 XXX-XX-3537 03/14/2011 04/13/2021 11011.70
6672 12/31/2009 XXX-XX-3537 03/14/2011 04/13/2021 16201.72
6672 03/31/2010 XXX-XX-3537 03/14/2011 04/13/2021 27065.58
6672 06/30/2010 XXX-XX-3537 03/14/2011 04/13/2021 9957.11
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~ $ 115156.83
This notice was prepared and signed at DETROIT, MI
the 15th day of
November 2012
on this,
__ _._
Signature ~~~ REVENUE OFFICER 22-06-1407
for SEAN DUNLEAVY (717) 777-9626
(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. 4091 Form 668(Y)(c) (Rev. 2-2004)
Part 1 -Kept By Recording Office CAT. NO 60025X