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HomeMy WebLinkAbout12-6683Form 668 (Y)(c) (Rev. February 20041 118 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 901311912 ~~,. G~~ ~ ~^ 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 T-~ r ~ ~. a demand for payment of this liability, but it remains unpaid. Therefore, ~ ~ ~ there is a lien in favor of the united States on ail property and ri is to A ~ ,~ o , property belonging to this taxpayer for the amount of these taxes, and r -~ z° additional penalties, interest, and costs that may accrue. 'c° 7©' C'> x"' ?. °~' 2 = t ~ Name of Taxpayer DAVID C STOUFFER ~~ y ;a or-~ STOUFFERS AUTO SERVICE ~ ~ ~ ~; ~ .,.~~ Residence 1270 ORRSTOWN RD SHIPPENSBURG, PA 17257 IMPORTANT RELEASE INFORMATION: For each assessment listed below, unless notice of the lien is refiled by the date given in column (e), this notice shall, ~~ ~"~ ~o~ • L on the day following such date, operate as a certificate of release as defined IRC 6325( i ) I~1R'~ n a . , ~.,~ Z s~ Tax Period Date of Last Dayy for Unpaid Balance Kind of Tax Ending Identifying Number Assessment Reflling of Asseument (a) (b) (c) (d) (e) (f) 941 12/31/2010 25-1514143 04/04/2011 05/04/2021 941 12/31/2010 25-1514143 09/24/2012 10/24/2022 7903.82 Place of Filing Prothonotary Cumberland County Carlisle, PA 17013 Total ~$ 7903.82 This notice was prepared and signed at DETROIT, MI the 22nd day of October 2012 - - -' on this, Signature /' ~'~~ ~~ 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) Part 1 -Kept By Recording Office Form 668(Y)(c) (Rev. 2-2004) CAT. NO 60025X