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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) 913-6050 125744514
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including interest and penalties)
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have,been assessed against the following-named taxpayer. We have made C::)
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a demand for payment of this liability, but it remains unpaid. Therefore, L -n --4
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there is a lien in favor of the United States on all property and rights to L-D 7;0 )
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property belonging to this taxpayer for the amount of these taxes, and
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additional penalties, interest, and costs that may accrue.
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Name of Taxpayer JAMON D REID
Residence 22 WESTMINSTER CT
CARLISLE, PA 17013-1799
IMPORTANT
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 6325(a).
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notice
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Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) M
1040 12/31/2012 XXX-XX-3578 07/29/2013 08/28/2023 2948.29
Place of Filing
Prothonotary
Cumberland County Total 2948 .29
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI on this,
the 20th day of October 2014.
SignatureTitle
REVENUE OFFICER 22-06-2624
for JAKOB A PEDERSEN (717) 777-9621
(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. 4091 Form 668(Y)(c) (Rev. 2-20041
Part 1 - Kept By Recording Office CAT. NO 60025X