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Department of the Treasury - Internal Revenue Service
Form 66ar MW
(Rev. February 2004) Noti of Federal Tax Lien
Area: Serial Number For Optional Use by Recordi Office
SMALL BUSINESS /SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913 -6050 929777113 j -� / Z-
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. r � ZC w -
Name of Taxpayer MARK R JAMES Fn
r � .
Residence 424 SPRING HOUSE RD --
CAMP HILL, PA 17011 -1452 3,
IMPORTANT RELEASE INFORMATION For each assessment listed below, rd
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 a T l_
in IRC 6325(a). 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) M
1040 12/31/2006 XXX -XX -6076 02/09/2009 03/11/2019 13416.65
1040 12/31/2007 XXX -XX -6076 01/10/2011 02/09/2021
1040 12/31/2007 XXX -XX -6076 05/16/2011 06/15/2021 9256.71
Place of Filing
Prothonotary
Cumberland County Total $ 22673.36
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI , on this,
the 26th day of March 2013
Signature Title
REVENUE OFFICER 22 -06 -1418
for JAKOB PEDERSEN (717) 777 -9621
(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)
Part 1 - Kept By Recording Office Form 668(Y)(c) (Rev. 2 -2004)
CAT. NO 60025X