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Department of the Treasury - Internal Revenue Service
Form 668 (20(4)
(Rev. February 2004) Notice of Federal Tax Lien
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 787272811
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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) c
have been assessed against the following-named taxpayer. We have made
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a demand for payment of this liability, but it remains unpaid. Therefore, f?i r n
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-there is a lien in favor of the United States on all property and rights to C„ or,,
property belonging to this taxpayer for the amount of these taxes, and -<> -- CD °
additional penalties, interest, and costs that may accrue. c MIN
Name of Taxpayer CHRISTOPHER E SHEFFIELD
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Residence 303 S QUEEN ST
SHIPPENSBURG, PA 17257-2015
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
in IRC 6325(a).
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Tax Period Date of Last Day for Unpaid Balance
f A
s
Kind of Tax Ending Identifying Number Assessment Refiling ment
sses
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(a) b) (c) (d) (e)
6672 03/31/2009 XXX-XX-2951 04/11/2011 05/11/2021 1853.53
6672 06/30/2009 XXX-XX-2951 04/11/2011 05/11/2021 1853.53
6672 09/30/2009 XXX-XX-2951 04/11/2011 05/11/2021 1853.53
6672 12/31/2009 XXX-XX-2951 04/11/2011 05/11/2021 1853.53
6672 03/31/2010 XXX-XX-2951 04/11/2011 05/11/2021 1900.44
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $ 9314.56
This notice was prepared and signed at
the 19th day of May
DETROIT, MI
2011
, 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)
Form 668( (Rev. )
Part 1 - Kept By Recording Office CAT. NO 60025X
CAT
025X