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Form 668 (Y)(c) Department of the Treasury - Internal Revenue Service
(Rev. February 2004) Notice of Federal Tax Lien
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 679482110 / 0 - 4?q<3a 77-
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 liabilhy, 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 CARL E HOFFMAN -T?
Residence 145 N WEST ST C ,
CARLISLE, PA 17013-2337
IMPORTANT RELEASE INFORMATION: For each assessment listed below, /?J •Dp ????
unless notice of the lien is refiled by the date given in column (a), this notice shall, v
on the day following such date, operate as a certificate of release as defined
in IRC 6325(a). a yS9a?
Kind of Tax Tax Period
Ending
Identifying Number Date of
Assessment Last D for
Refing Unpaid Balance
of Assessment
a b c) (d (e
1040 12/31/2003 XXX-XX-6221 08/06/2007 09/05/2017 3025.17
1040 12/31/2004 XXX-XX-6221 08/06/2007 09/05/2017 3150.31
1040 12/31/2005 XXX-XX-6221 04/13/2009 05/13/2019 3789.23
1040 12/31/2006 XXX-XX-6221 04/13/2009 05/13/2019 3698.14
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total J$ 13662.85
This notice was prepared and signed at
the 19th day of July
Signature f? A
for JAKOB PEER
DETROIT, MI
2010
, on this,
Title
REVENUE OFFICER
(717) 777-9621
22-06-1418
(NUFL, 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 668M(c) (Rev. 2-2004)
Part 1 - Kept By Recording Office CAT. NO 60025X