HomeMy WebLinkAbout12-5117Form 668 (Y)(c)
(Rev. February 2004)
883
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 887230712
'
As provided by section 6321, 6322, and 6323 of the Internal Revenue l a -5
117
-rL
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. ; n .
Name of Taxpayer DAVID & NANCY STOUFFER '
Residence 1619 S YORK ST
MECHANICSBURG, PA 17055-5101
IMPORTANT RELEASE INFORMATION: For each assessment listed below, 4 0 -
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).
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) W
1040 12/31/2008 XXX-XX-6643 10/18/2010 11/17/2020 19324.35
1040 12/31/2009 XXX-XX-6643 11/21/2011 12/21/2021 11744.36
1040 12/31/2010 XXX-XX-6643 11/21/2011 12/21/2021 29451.21
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 60519.92
This notice was prepared and signed at
the 09th day of August
DETROIT, MI
2012
, on this,
Signature REVENUE OFFICER 25-15-3216
for J. ABRAMS (404) 338-9244
(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