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14-0729
11883 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) 829 -3903 981856914 As provided by section 6321, 6322, and 6323 of the Internal Revenue ' ��T� 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� , additional penalties, interest, and costs that may accrue. c 'c3 X- - --s Name of Taxpayer KEITH B DEARMOND �to r— c� Residence 49 S PITT ST C © --4 ( :D CARLISLE, PA 17013 -3210 I G Eoinl TANT RELEASE INFORMATION For each assessment listed below, �� r otice of the lien is refiled by the date given in column (e), this notice shall, 1 . ay following such date, operate as a certificate of release as defined ��'s " [, . 225(a). �- V Tax Period Date of Last Da for Unpaid Balance Kind of Tax Ending Identifying Number Assessment Refilling of Assessment (a) (b) (c) (d) (e) M 1040 12/31/2011 XXX -XX -6309 11/19/2012 12/19/2022 25756.72 Place of Filing Prothonotary Cumberland County Total $ 25756.72 Carlisle, PA 17013 This notice was prepared and signed at DETROIT, MI on this, the 30th day of January 2014 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) AT Form 668( (Rev. 2 -20 Part 1 - Kept By Recording Office CAT. NO 60025X X