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Department of the Treasury - Internal Revenue Service
Form Baa (Y04) Notice of Federal Tax Lien
(Rev.
(Rev. February 2004?
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #1
Lien Unit Phone: (800) 913-6050 113397214
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 rnrn � --
a demand for payment of this liability, but it remains unpaid. Therefore, 2---, G-') 0
there is a lien in favor of the United States on all property and rights to rte'
property belonging to this taxpayer for the amount of these taxes, and N
additional penalties, interest, and costs that may accrue. "`
Name of Taxpayer ZACHARY KERR
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Residence 346 LINCOLN ST
CARLISLE, PA 17013-1879
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 Refiling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2011 XXX-XX-9449 04/28/2014 05/28/2024 7884 . 07
1040 12/31/2012 XXX-XX-9449 04/28/2014 05/28/2024 6140 .66
1040 12/31/2013 XXX-XX-9449 04/28/2014 05/28/2024 5918 . 07
Place of Filing
Prothonotary
Cumberland County Total $ 19942 . 80
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI , on this,
the 05th day of August 2014
Signature i';\r-• ACS SBSE 21-00-0008
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. Rut, 71-466, 1971 - 2 C.B. 409) Form 668(Y)(c) (Rev. 2-2004)
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