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Form 668 (Y)(c) Department of the Treasury - Internal Revenue Service
(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 958749613
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 r• a _'
a demand for payment of this liability, but it remains unpaid. Therefore, 4 „
there is a lien in favor of the United States on all property and rights to r CU
property belonging to this taxpayer for the amount of these taxes, and additional penalties, penalties, interest, and costs that may accrue. c�
Name of Taxpayer MICHAEL DYARMAN r — "C'
M B D SALES T- of
Z G �=
Residence
206 E KING ST _
SHIPPENSBURG, PA 17257 -1434
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 63251a). ✓� a y',f��Sf
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilling of Assessment
(a) (b) (c) (d) (e) (f)
6721 12/31/2003 23- 2402874 11/06/2006 12/06/2016 1746.50
940 12/31/2002 23- 2402874 01/31/2005 03/02/2015 429.03
940 12/31/2003 23- 2402874 01/31/2005 03/02/2015 146.12
941 03/31/2004 23- 2402874 02/07/2005 03/09/2015 1494.58
941 06/30/2004 23- 2402874 02/07/2005 03/09/2015 1463.14
941 09/30/2004 23- 2402874 02/07/2005 03/09/2015 1329.07
Place of Filing
Prothonotary
Cumberland County Total $ 6608.44
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI , on this,
the 04th day of September 2013
Signature Title
\ \C- 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) Form 668(Y)(c) (Rev. 2 -2004)
Part 1 -Kept By Recording Office
CAT. NO 60025X