HomeMy WebLinkAbout11-0184Form 668 (Y)(c)
(Rev. February 2004)
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax Lien
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a: Serial Number For Optional Use by Recording Office
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SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050
737696610
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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, _c „~ ..-
there is a lien in favor of the United States on all property and rights to ~~ ~. -T'=~1
property belonging to this taxpayer, for the amount of these taxes, and ~~ x~
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additional penalties, interest, and costs that may accrue. ~ ~
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Name of Taxpayer GEORGE STAMBAUGH ! ~ ~ ..~ `-~-,~
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Residence 3419 RITNER HWY =~" r~ ~~~'
NEWVILLE, PA 17241-9460 ~ '~-`~ .`
IMPORTANT RELEASE INFORMATION: For each assessment listed below, r~'~,~ `_~ _ /~
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unless notice of the lien is refiled by the date given in column (e), this notice shall, i9 ~~ ~ :CC.itidJU.c'
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on the day following such date, operate as a certificate of release as defined
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IRC 6325(
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Tax Period Date of Last Da~r~rr for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (f)
940 12/31/2009 23-1592590 05/17/2010 06/16/2020 322.74
943 12/31/2009 23-1592590 06/21/2010 07/21/2020 9155.25
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 9477.99
This notice was prepared and signed at DETROIT, MI
the 30th day of December 2010
on this,
Signature Title
~~` REVENUE OFFICER 22-06--1413
for LINDSEY O BOWLIN (717) 777-9623
(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)
Part 1 -Kept BY Recording Office Form 668(Y)<c) (Rev. 2-20041
CAT. NO 60025X
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