HomeMy WebLinkAbout11-6386Form 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) 913-6050 805514911
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, - 3 -1
there is a lien in favor of the United States on all property and rights to rncv
property belonging to this taxpayer for the amount of these taxes, and =::c G*) .,.,
additional penalties, Interest, and costs that may accrue. ?,
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Name of Taxpayer JAMES L DECD & JANICE T BARISKI
Residence 57 LANGWOOD DR rv +
MECHANICSBURG, PA 17050
IM
ANT RELEASE INFORMATION: For each assessment listed below
,
unleice of the lien is refiled by the date given in column (e), this notice shall,
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on following such date, operate as a certificate of release as defined
1? G'L' _
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in IR325(a).
Kind of Tax Tax Period
Ending
Identifying Number Date of
Assessment Last D for
Refilling Unpaid Balance
of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2007 XXX-XX-7521 02/09/2009 03/11/2019 76868.92
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 76868.92
This notice was prepared and signed at DETROIT, MI
the 03rd day of August 2011
, on this,
Signature Title
ACS SBSE 22-00-0008
for MICHAEL W. COX (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 1 - Kept By Recording Office CAT. 668(lf (Rev. 2-20041
CAT. NO 60025X