HomeMy WebLinkAbout10-7830Form 66$ (Y)(t)
(Rev. February 20Q4)
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax Lien
Area: Serial Number
SMALL BUSINESS/SELF EMPLC?YED AREA #4
Lien Unit Phone: (300) 913-6050 732631'10
As provided by section b32 t, b3Z2, and b323 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 ail property and rights to
property belonging to this taxpayer for the amount of these taxes, and
additional penalties, interest, and casts that may accrue.
Name of Taxpayer JOHN R & BERNICE M BARYON
Residence 101 OLD FORD DR
CAMP HILL, PA 17011
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,
on the day fallowing such date, operate as a certificate of release as defined
in IRC 6325(a}.
For Optional Use by Ree:ording Office
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Tax Period Date of Last Dayy for unpaid Balance
Kind of Tax Ending identifying Number Assessment Refiling of Assessment
(a) (b) (c) (dj (ej (f)
1040 12/31/2007 XXX-XX-7304 12/01/2008 12/31/2018 260&.48
8278 09/30/2004 XXX-XX-7304 04/11/2005 05/11/2015 26727.24
8278 12]31/2004 XXX-XX-7304 04/11/2005 05/11/2015 16095.18
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total I $
This notice was prepared and signed at
DETROIT, MT
45428.90
the 14th day of December 2010
an this,
Signature ~ zt`~ ACS 24-00-0008
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 6613(Y)(t) (Rev. 2-2004)
Part i -Kept ely Recording Otffce CRT. NO 60025X