HomeMy WebLinkAbout10-3400 11883
Department of the Treasury - Internal Revenue Service
Form 668 MW
Notice of Federal Tax Lien
(Rev. February 2004) ! 0 - 3 00 PTL
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 829-3903
655749110
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As provided by section 6321, 6322, and 6323 of the Internal Revenue C V I Dagy
Code, we are giving a notice that taxes (including interest and penalties) P'* 01,4 a50la
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 CLIFTON W GRIFFITHS
Residence 9 BARE RD
MECHANICSBURG, PA 17050-3101
IMPORTANT RELEASE INFORMATION: For each assessment listed below, r
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 c
in IRC 6325(a).
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (f7
1040 12/31/2005 XXX-XX-0587 05/29/2006 06/28/2016 8022.10
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
• Total 1$ 8022.10
This notice was prepared and signed at
the 13th day of May
DETROIT, MI
2010
, on this,
Signature Title
ACS 22-00-0008
for MICHAEL W. COX (800) 829-3903
(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)
Part I - Kept By Recording Office CAT. NO 60025X