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Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c)
Mev. 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) 829 -3903 953006913
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, c
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.
Name of Taxpayer BRIAN J MARTINEZ
Residence 215 8TH ST
NEW CUMBERLND, PA 17070 -1606
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 Dayy for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2006 XXX -XX -8507 05/21/2007 06/20/2017 565.06
1040 12/31/2007 XXX -XX -8507 12/08/2008 01/07/2019
1040 12/31/2007 XXX -XX -8507 11/12/2012 12/12/2022 11973.14
1040 12/31/2008 XXX -XX -8507 11/16/2009 12/16/2019 9653.31
1040 12/31/2009 XXX -XX -8507 08/30/2010 09/29/2020 11584.13
Place of Filing
Prothonotary
Cumberland County Total $ 33775.64
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI , on this,
the 01st day of August 2013
Signature �'�� Title
ACS SBSE 22 -00 -0001
for P.A. BELTON (800) 829 -3903
(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( CAT (Rev. 025X )
Part 1 - Kept By Recording Office
CAT. NO 60025X