HomeMy WebLinkAbout10-2034Form 668 (Y)(c)
(Rev. February 2004)
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien 10 - aaa?
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 829-3903 634685310 pM PL.PF- 01q 00
As provided by section 6321, 6322, and 6323 of the Internal Revenue elo g401
Code, we are giving a notice that taxes (including Interest and penalties) Will 0,t3g30q
have been assessed against the following-named taxpayer. We have made
a demand for payment of this liability, but it remains unpaW. 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 penaitles, Interest, and costs that may accrue. n «.,
a -
Name of Taxpayer JAMES H BUFFINGTON 4
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f. C J Jw
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Residence
719 SINCLAIR RD
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MECHANICSBURG, PA 17055-4053 t_
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, o
v
on the day following such date, operate as a certificate of release as defined 1
in IRC 6325(a).
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment RMIlIng of Assessment
a b c (d)
e M
1040 12/31/2004 XXX-XX-6824 03/02/2009 04/01/2019 18935.54
1040 12/31/2005 XXX-XX-6824 03/02/2009 04/01/2019 15720.06
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 34655.60
This notice was prepared and signed at
DETROIT, MI
the 16th day of March 2010
Signature
, on this,
f
for MICHAEL W. COX
Title
ACS
(800) 829-3903
22-00-0008
(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(Y)(c) (Rev. 2-2004)
Put 1 - Kept By Recording OlRlce CAT. NO 60025X