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Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c)
(Rev. February 2004) Notice of Federal Tax Lien
Area: Serial Number For Optional Use by Recording Office
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (800) 829-7650 688769010 - ` _
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y 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 o
a demand for payment of this liability, but it remains unpaid. Therefore, _a o
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 c?
additional penalties, interest, and costs that may accrue.
Name of Taxpayer MARK S BARBER
3
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Residence 1155 BELVEDERE ST '
CARLISLE, PA 17013-4004
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, ,
-X?T- 2A
on the day following such date, operate as a certificate of release as defined
in IRC 6325(a). &C'Lft
Kind of Tax Tax Period
Ending
Identifying Number Date of
Assessment Last Day for
Refilling Unpaid Balance
of Assessment
(a) (b) (c) d) (e) (f)
1040 12/31/2004 XXX-XX-1339 03/15/2010 04/14/2020 10922.18
1040 12/31/2007 XXX-XX-1339 02/15/2010 03/16/2020 1151.93
1040 12/31/2008 XXX-XX-1339 02/15/2010 03/16/2020 3027.26
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total I $ 15101.37
This notice was prepared and signed at
the 13th day of August
DETROIT, MI
, on this,
2010
Signature Title
ACS 11-00-0000
nor DEBRA K. HURST (800) 829-7650
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the
Rev. Rul. 71-466, 1971 - 2 C.B. 409)
Part 1 - Kept By Recording Office
,f Notice of Federal Tax lien
Form 668(Y)(c) (Rev. 2-2004)
CAT. NO 60025X
I A0