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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: (Soo) 913-6050 111276714
As provided by section 6321, 6322, and 6323 of the Internal Revenue JI/' s3s '"�
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 z rn co � -
additional r-
penalties, interest, and costs that may accrue.
Name of Taxpayer JOHN M & STACY A RUMBERGER
!,>C7 eft
-T.
Residence 351 PINE HILL RD
CARLISLE, PA 17013-9512
IMP :day
NT RELEASE INFORMATION: For each assessment listed below,
unlese of the lien is refiled by the date given in column (e), this notice shall,
on thfollowing such date, operate as a certificate of release as defined a, `in IRC5(a). 1 `� J,
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 12/31/2013 XXX-XX-4237 06/02/2014 07/02/2024 10160 . 76
Place Of Filing
Prothonotary
Cumberland County Total $ 10160 . 76
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI , on this,
the 24th day of July 2014
Signature Title
REVENUE OFFICER 22-06-2625
for MIGNA RODRIGUEZ (717) 777-9622
(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 I -Kept By Recording Office CAT. NO 60025X