HomeMy WebLinkAbout07-7101Form 668 (Y)(c)
IRev. February 2004)
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax Lien ~ ,.~, ~, , ~ T~
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Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 403761107
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
properly belonging to this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs that may accrue.
Name of Taxpayer LLOYD A PEFFER
Residence 4 0 LONG LANE RD
NEWVILLE, PA 17241-9773
For Optional Use by Recording Office
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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 (e1, 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 Dar~rr for
Kind of Tax Ending Identifying Number Assessment Refilling
(a) (b) (c) (d) (e)
1040 12/31/2003 XXX-XX-3062 06/14/2004 07/14/2014
1040 12/31/2003 XXX-XX-3062 03/20/2006 04/19/2016
1040 12/31/2005 XXX-XX-3062 06/12/2006 07/12/2016
Place of Filing
DETROIT, MI
Total ~$ 100356.59
This notice was prepared and signed at
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Unpaid Balance
of Assessment
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100194.22
162.37
on this,
the 14th day of November 2007
Signature A Title
REVENUE OFFICER 22-06-1442
for DAVID M. SHROYER (717) 777-9625 x1320
Prothonotary
Cumberland County
Carlisle, PA 17013
(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(n(c) IRev. 2-2004)
Part 1 -Kept fly Recording Office CAT. NO 60025X