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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 109283714
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
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additional penalties, interest, and costs that may accrue. rrir." r-
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Name of Taxpayer ROBERT T DEMAREST cn� tU c4
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Residence 410 HURON DR t #'
MECHANICSBURG, PA 17050
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TANT RELEASE INFORMATION: For each assessment listed below,
otice of the lien is refiled by the date given in column (e), this notice shall, a/ S?} • C` �'
day following such date, operate as a certificate of release as defined
325(a).
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2009 XXX-XX-7740 11/22/2010 12/22/2020 540 . 70
1040 12/31/2010 XXX-XX-7740 11/21/2011 12/21/2021 802 .25
1040 12/31/2011 XXX-XX-7740 06/09/2014 07/09/2024 8245 .24
Place of Filing
Prothonotary
Cumberland County Total $ 9588 . 19
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI , on this,
the lith day of July 2014
SignatureTitle
r�1C_-'- � REVENUE OFFICER 22-06-2614
for LINDSEY O BOWLIN (717) 777-9623
(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