HomeMy WebLinkAbout11-1686Form 668 (Y)(c)
(Rev. February 2004)
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 750241811
As provided by section 6321, 6322, and 6323 of the Internal Revenue f 10?? ??L
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, u
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. - r"
Name of Taxpayer DAVID E RIFE '; - -
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I
a5.,t. 4C,-
Residence 7 E GREEN ST
SHIREMANSTOWN, PA 17011-6551
%)
ORTANT RELEASE INFORMATION: For each assessment listed below,
ss notice of the lien is refiled by the date given in column (e), this notice shall,
he day following such date, operate as a certificate of release as defined
Fo
?gp?`
RC 6325(a).
in /?z• aSSO? ?.
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2003 XXX-XX-1764 05/26/2008 06/25/2018 8330.19
1040 12/31/2005 XXX-XX-1764 04/20/2009 05/20/2019 9192.10
1040 12/31/2006 XXX-XX-1764 04/20/2009 05/20/2019 7713.07
1040 12/31/2007 XXX-XX-1764 04/12/2010 05/12/2020 7593.06
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 32828.42
This notice was prepared and signed at
the 03rd day of February
DETROIT, MI
2011
, on this,
Signature Title
ACS SBSE 22-00-0001
for FRED BANKS (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 668(Y)(c) (Rev. 2-2004)
Part I -Kept By Recording Office CAT. NO 60025X