HomeMy WebLinkAbout07-0576
11799
Department of the Treasury - Internal Revenue Service
Form 668 (Y)(C)
(Rev, February 20041
Notice of Federal Tax Lien
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For Optional Use by Recording Office
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 340122107
A5 provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notke 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
property belonging to this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs that may accrue.
Name of Taxpayer JOHN R & BERNICE M BARTON
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Residence
101 OLD FORD DR
CAMP HILL, PA 17011
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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).
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Tax Period Date of Last D1T. for Unpaid Balance
Kind of Tax Ending Identifying Number A5sessment Refi ng of A5sessment
(a) (b) (c) (d) (e) (f)
CIVP 03/31/2004 XXX-XX-7304 04/11/2005 05/11/2015 16651.43
CIVP 06/30/2004 XXX-XX-7304 04/11/2005 05/11/2015 15492.20
CIVP 09/30/2004 XXX-XX-7304 04/11/2005 05/11/2015 31241. 36
CIVP 12/31/2004 XXX-XX-7304 04/11/2005 05/11/2015 18316.37
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $
81701.36
This notice was prepared and signed at
DETROIT, MI
, on this,
17th day of January
2007
the
Signature
Title
ACS
(800) 829-3903
22-00-0008
for REGINA OWENS
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien
Rev. Ru!' 71-466, 1971 - 2 C,B. 409)
Part 1 - Kept By Recording Office
Form 668(Y)(c) (Rev. 2-2004)
CAT. NO 60025X