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Department of the Treasury - Internal Revenue Service
Form 66ar (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 119379014
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 w
property belonging to this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs that may accrue. M,M n
jw;I
Name of Taxpayer JOHN MANGAN III & CORRINE M MANGAN cnr— :=-c x
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Residence 41 WALNUT ST
CARLISLE, PA 17013-3877 `
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}, 1 f3fi
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 12/31/2010 XXX-XX-7787 05/30/2011 06/29/2021 5950 . 79
1040 12/31/2011 XXX-XX-7787 11/19/2012 12/19/2022 13689 . 08
1040 12/31/2012 XXX-XX-7787 11/18/2013 12/18/2023 21456 . 58
Place of Filing
Prothonotary
Cumberland County Total $ 41096 .45
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI , on this,
the lith day of September 2014
Signature r'��,r-� 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) Form 668(Y)(c) (Rev. 2-2004)
Part 1 -Kept By Recording Office CAT. NO 60025X