HomeMy WebLinkAbout11-3401I 1250.5
Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c)
lRev. 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 770181311
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,
there is a lien in favor of the United States on all property and rights to c C=
property belonging to this taxpayer for the amount of these taxes, and -03 = =-,n
additional penalties, Interest, and costs that may accrue. Zco 2XV r`"+r=-
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Name of Taxpayer JOHN A BARDEN
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a
Residence 1 WOBURN ABBEY AVE >C-j
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CAMP HILL, PA 17011-1044 D r
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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 following such date
operate as a certificate of release as defined
?? <Do ,,I
?e
,
in IRC 6325(a). '-it oZ S
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiflng of Assessment
(a) (b) (c) (d) (e) M
1040 12/31/2006 XXX-XX-3043 11/08/2010 12/08/2020 1745.06
1040 12/31/2007 XXX-XX-3043 11/08/2010 12/08/2020 8146.02
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 9891.08
This notice was prepared and signed at
the 25th day of March
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) Part I - Kept By Recording Office CAT. 668(lf (Rev. 2 20041
CAT. NO 60025X