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Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c)
(Rev. February 2004) 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 948646713
As provided by section 6321, 6322, and 6323 of the Internal Revenue / 3 ' /� ( / 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 r.� %,
property belonging to this taxpayer for the amount of these taxes, and -"
additional penalties, interest, and costs that may accrue.
M OD C—
=M
Name of Taxpayer MICHAEL F & DANIELLE M BARNES
Ca
Residence 4
2815 FAIRVIEW RD
CAMP HILL, PA 17011 -1623
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,
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) (f)
1040 12/31/2008 XXX -XX -9056 09/13/2010 10/13/2020 4436.53
1040 12/31/2009 XXX -XX -9056 08/22/2011 09/21/2021 37592.60
1040 12/31/2010 XXX -XX -9056 01/07/2013 02/06/2023 77849.85
1040 12/31/2011 XXX -XX -9056 05/27/2013 06/26/2023 4613.30
Place of Filing
Prothonotary
Cumberland County Total $ 124492.28
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI , on this,
the 09th day of July 2013
Signature Title
��1C-qm� REVENUE OFFICER 22 -03 -4033
for B. KREUTZER (412) 395 -6343
(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)
AT Form 668( (Rev. 2-200
Part 1 - Kept By Recording Office CAT NO 60025X X