HomeMy WebLinkAbout12-6165Form 668 (Y){c)
IRev. February 2004)
83
Department of the Treasury -Internal Revenue Service
Notice of Ferc~ra! Tax Lien
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 895590012
As prodded Ilry section 632 t, 6322, and 6323 of the Ilnternaf R~weawe
Code, we an pivbp a notice that taxes (includin8 interest and penalties)
have been the followingnamed taxpayer. We have made
a deln>I~d for payatw!nt of thh ii~ilhy, but k ren~ns unpaid. Therefore,
there is a ~ in favor of the U>aited States on ~ property and riffs to
Property to thh taxpayer for the amount of these taxes, aml
a~tbnal petra~es, irllterest, and costs that may aurae.
ame of Taxpayer lixv1L t; a-r~urr~~
STOUFFERS AUTO SERVICE
Residence 12 7 0 ORRSTOWN RD
SHIPPENSBURG, PA 17257
For Optional Use by Recording Utnce
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iir/rQRTA1MiT RELEASE 11r1~RMATiON: For each assessment listed below,
unless notice of the lien is refiled by the date given in column (e1, this notice shall, o~l.S~ d , G- T
on the day following such date, operate as a certificate of release as defined P
in IRC 6325(a1. ~ ~~`'
Tax Period Date of Lxt~~l~r for ~Id~t
Khul of Tax E Identifying Number Assessment 1
__ ~ IA
6721 12/31/2009 25-1514143 08/13/2012 09/12/2022 7689.48
940 12/31/2007 25-1514143 09/03/2012 10/03/2022 10058.90
941 03/31/2010 25-1514143 08/27/2012 09/26/2022 2246.65
941 06/30/2010 25-1514143 08/27/2012 09/26/2022 1654.27
941 03/31/2012 25-1514143 08/27/2012 09/26/2022 7837.14
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 29486.44
This notice was prepared and signed at
DETROIT, MI
the 24th day of September 2012
on this,
Signature /'~~^~~ REVENUE OFFICER 22-06-1413
for LINDSEY O BOWLIN (717) 777-9623
(M~% Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notica of Federal Tax lien
Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form ~(1()(c) IRev. 2-20041
Part 1 -Kept By RecordM~ OM'ice CAT. NO 60025X