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11883
Department of the Treasury - Internal Revenue Service
Form 668 ( Notice of Federal Tax Lien
(Rev. February 2 2004) 004)
Area: Serial Number For Optional Us, by Recording Office
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (800) 829-7650 690592610
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 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 JOHN C KAUFFMAN
Residence 508 S PITT ST
CARLISLE, PA 17013-3820
/o - S 7/7
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, 19a) "'o/.
on the day following such date, operate as a certificate of release as defined
in IRC 6325(a). /Q ^ aS
Tax Period Date of Last Dar?rr for
Kind of Tax Ending Identifying Number Assessment Refiling
(a) (b) (c) (d) (e)
1040 12/31/2001 XXX-XX-0157 110/24/20051 11/23/2015
13823.99
Place of Filing
Prothonotary
Cumberland County Total $'! = 13823.99
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI , on this,
the 19th day of August 2010
Signature A ACS 11-00-0000
for DEBRA K. HURST (800) 829-7650
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of NCI ice of Federal Tax lien
Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 668(Y)(c) (Rev. 2-2004)
Part 1 - Kept By Recording Office CAT. NO 60025X
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Unpaid Balance
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