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Department of the Treasury - Internal Revenue Service #
Form Fe
bar 0040 No of Federal Tax Lien ag9q
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS /SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 829 -3903 974782313
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 - r m Mift z;;
additional penalties, interest, and costs that may accrue.
Name of Taxpayer CHRISTOPHER L OGBURN
Residence 2560 WATERFORD 1>
CAMP HILL, PA 17011 - 1274 - ro
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 Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2009 XXX -XX -0994 11/22/2010 12/22/2020 2951.13
1040 12/31/2010 XXX -XX -0994 09/09/2013 10/09/2023 76540.85
1040 12/31/2011 XXX -XX -0994 03/04/2013 04/03/2023 14371.84
Place of Filing
Prothonotary
Cumberland County Total $ 93863.82
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, M I , on this,
the 19th day of December 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)
Part 1 - Kept By Recording Office Form 668( CAT (Rev. 2 -20041
CAT. NO 60025X