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Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c)
Notice of Federal Tax Lien
(Rev. February 2004)
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 829-3903 818696211
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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)
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
property belonging to this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs that may accrue.
Name of Taxpayer JAMES D & KAREN R GOOD rnco ° i ri-
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s
Residence
405 LIMEKILN RD r
o
NEW CUMBERLND, PA 17070-2426
IMPORTANT RELEASE INFORMATION: For each assessment listed below,
this notice shall
unless notice of the lien is refiled by the date given in column (e) ,
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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 12/31/2005 XXX-XX-2948 08/28/2006 09/27/2016
1040 12/31/2005 XXX-XX-2948 04/14/2008 05/14/2018 9539.02
1040 12/31/2007 XXX-XX-2948 05/26/2008 06/25/2018
1040 12/31/2007 XXX-XX-2948 02/08/2010 03/09/2020 15211.87
1040 12/31/2008 XXX-XX-2948 05/25/2009 06/24/2019 6991.14
1040 12/31/2009 XXX-XX-2948 05/24/2010 06/23/2020 4966.32
1040 12/31/2010 XXX-XX-2948 05/30/2011 06/29/2021 2324.52
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 39032.87
This notice was prepared and signed at
the 04th day of October
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 1 - Kept By Recording Office Form 668(Y)(c) (Rev. 2-2004)
CAT. NO 60025X