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Farm 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 133724814 / 7,2S"1 7-L-
As provided by section 6321, 6322, and 6323 of the Internal Revenue 7�
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 a
property belonging to this taxpayer for the amount of these taxes, and — --'
additional penalties, interest, and costs that may accrue. rrn o j-?-,
�� cam) _0 rr.
Name of Taxpayer MICHAEL A & PENNY D SHERIFF r o
CD
Residence
436 MOUNT ROCK RD
NEWVILLE, PA 17241-9576 _j '
-( Ln
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 a�'S(� 77
in IRC 6325(a). 71 3
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-4556 11/17/2014 12/17/2024 7044 . 99
Place of Filing
Prothonotary
Cumberland County Total $ 7044 . 99
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI , on this,
the 08th day of December 2014
Signature �?�{� L J Title
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, 1871 -2 C.B. 409)
AT
Part 1 - Kept By Recording Office Farm 668( C (Rev. 2-2004)
CAT. NO 60025X