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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) 913-6050 873764612
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 U
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property belonging to this taxpayer for the amount of these taxes, and =
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additional penalties, interest, and costs that may accrue.
Name of Taxpayer DAVID C STOUFFER - -
STOUFFERS AUTO SERVICE
Residence 1270 ORRSTOWN RD
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SHIPPENSBURG, PA 17257
EASE INFORMATION: For each assessment listed below,
ien is refiled by the date given in column (e), this notice shall,
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6325(a).
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)
941 09/30/2007 25-1514143 03/21/2011 04/20/2021 10181.00
941 09/30/2011 25-1514143 01/02/2012 02/01/2022 3386.15
941 12/31/2011 25-1514143 04/09/2012 05/09/2022 4701.55
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 18268.70
This notice was prepared and signed at
the 11th day of June
DETROIT, MI
2012
, on this,
Signature Title
???C.es?.? 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(Y)(c) (Rev. 2-2004)
Part 1 - Kept By Recording Office CAT. NO 60025X