HomeMy WebLinkAbout11-339911883
Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c)
(Rev. February 2004) 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 76965601 1 f? ?L
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including interest and penalties) n °
o
have been assessed against the following-named taxpayer. We have made C = --4
"a
rn-
a demand for payment of this liability, but it remains unpaid. Therefore, ss
there is a lien in favor of the United States on all property and rights to ?rn
property belonging to this taxpayer for the amount of these taxes, and 89
additional penalties, interest, and costs that may accrue.
O
Name of Taxpayer JOHN A BARDEN & LORI STEELE BARDEN ?? ? =-
ZC) 0M
p
V
Residence 1 WOBURN ABBEY AVE t
- CD
CAMP HILL, PA 17011-1044
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,
Jg •DD f,?P, ???b?
on the day following such date, operate as a certificate of release as defined
in IRC 6325(a). PH oZ r? qtf
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Reftling of Assessment
(a) (b) (c) (d) (e) (f?
1040 12/31/2005 XXX-XX-3043 10/08/2007 11/07/2017 15897.34
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 15897.34
This notice was prepared and signed at
DETROIT, MI
the 24th day of March 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 1 - Kept By Recording Office CAT. NO 60025X