HomeMy WebLinkAbout09-4352Form 668 (Y)(c)
(Rev. February 2004)
4804
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien 9. f 3 s-i- r ri-
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050
559132909 •?
Td 19-W "'00
As provided by section 6321, 6322, and 6323 of the Internal Revenue s<< Yof
Code, we are giving a notice that taxes (including interest and penalties) CA-
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
V
1R
additional penalties, interest, and costs that may accrue.
Name of Taxpayer GEORGE STAMBAUGH T
r
Residence 3419 RITNER HWY
NEWVILLE
PA 17241-9460 C
,
IMPORTANT RELEASE INFORMATION: For each assessment listed below, -4 -?
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).
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Reflling of Assessment
(a) (b) (c) (d) (e) (f)
940 12/31/2008 23-1592590 04/20/2009 05/20/2019 220.16
943 12/31/2008 23-1592590 04/20/2009 05/20/2019 12297.98
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 12 518.14
This notice was prepared and signed at
the 22nd day of June
DETROIT, MI
2009
, on this,
Signature ? A 'Y?1? Title
REVENUE OFFICER 22-06-1418
for JAKOB 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. 409)
Part 1 - Kept By Recording Office CAT. 668( (Rev. 2-20041
CAT. NO 60025X