HomeMy WebLinkAbout10-6581Form 668 (Y)(c)
(Rev. February 2004)
11883
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 829-3903 708896010
/
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including Interest and penalties)
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have been assessed against the following-named taxpayer. We have made ..? C=
a demand for payment of this liability, but it remains unpaid. Therefore, r cco ? rte-
there Is a lien in favor of the united States on all property and rights to --+ -urn
property belonging to this taxpayer for the amount of these taxes, and cn ,
additional penalties, Interest, and costs that may accrue. ? .
Name of Taxpayer JAMES L HOFER C:) ?
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Residence 905 ROXBURY RD APT E5 ° <
SHIPPENSBURG, PA 17257-9196
TANT RELEASE INFORMATION: For each assessment listed below,
otice of the lien is refiled by the date given in column (e), this notice shall,
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day following such date, operate as a certificate of release as defined
6325(a). a y
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refil ing of Assessment
(a) b (c) d) (e ). (f)
1040 12/31/2007 XXX-XX-4019 05/26/2008 06/25/2018 1606.56
1040 12/31/2008 XXX-XX-4019 08/17/2009 09/16/2019 4631.02
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 6237.58
This notice was prepared and signed at
DETROIT, MI
, on this,
the 08th day of October 2010.
Signature y 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. 4091 Form 668(Y)(c) (Rev. 2-2004)
Part 1 -Kept By Recording Office CAT. NO 60025X