HomeMy WebLinkAbout12-7609Form 668 (Y)(c)
(Rev. February 2004)
11883
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax Lien
Area: Serial Number For Optional Use by Recording Office
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (800) 829-7650 911100112 ~
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As provided by section 6321, 6322, and 6323 of the Internal Revenue (
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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 lJnited States on all property and rights to :. ,
property belonging to this taxpayer for the amount of these taxes, and
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additional penalties, interest, and costs that may accrue. -~
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Name of Taxpayer ANTONIO L & DESA R BARNETTE SR ==.~- i-~a -
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Residence 116 A UMBERTO AVENUE APT A => `'!-'-
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NEW CUMBERLND, PA 17070-2626 ~~"~.~„ `~ ~
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, "-~
unless notice of the lien is refiled by the date given in column (e1, this notice shall, ~~. 52' ~,~ j' , ~
on the day following such date, operate as a certificate of release as defined
in IRC 6325(a).
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Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refi mg of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2011 XXX-XX-8167 05/28/2012 06/27/2022 9475.50
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 9475.50
This notice was prepared and signed at DETROIT, MI
the 11th day of December 201.2
on this,
Signature ~~~ Title
\~-~ ACS W&I 11-00-0000
for DEBRA K. HURST (800) 829-7650
(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. 2-20041
CAT. NO 60025X