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Department of the Treasury - Internal Revenue Service
{Rev.February 20004}4)
Form 66ar (YNotice of Federal Tax Lien
Area: Serial Number For Optional Use by Recording Office
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (800) 829-7650 121355214
As provided by section 6321, 6322, and 6323 of the Internal Revenue /�' �'�
Code, we are giving a notice that taxes (including interest and penalties) -; N
have been assessed against the following-named taxpayer. We have made -
a demand for payment of this liability, but it remains unpaid. Therefore, MW r/s
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 c"=- 772 r
additional penalties, interest, and costs that may accrue. r-i _J r'
Name of Taxpayer CHARLES C SHEAFFER JR
Residence 235 N 2ND ST ~
LEMOYNE, PA 17043-1102
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 f j
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 12/31/2000 XXX-XX-2080 09/20/2004 10/20/2014 15969 .66
1040 12/31/2003 XXX-XX-2080 04/12/2010 05/12/2020 12857 . 95
1040 12/31/2005 XXX-XX-2080 09/04/2006 10/04/2016 66 .30
1040 12/31/2007 XXX-XX-2080 05/19/2008 06/18/2018 1612 . 50
1040 12/31/2008 XXX-XX-2080 06/30/2014 07/30/2024 7142 . 75
1040 12/31/2009 XXX-XX-2080 06/30/2014 07/30/2024 5253 . 72
1040 12/31/2010 XXX-XX-2080 06/30/2014 07/30/2024 5000.24
1040 12/31/2011 XXX-XX-2080 06/30/2014 07/30/2024 4900 . 32
Place of Filing
Prothonotary
Cumberland County Total $ 52803 .44
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI
on this,
the 23rd day of September, 2014
Signature r �,r-� � ACS W&I 11-00-0000
for DEANN BENDER (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.S.409)
AT
Part 1 -Kept By Recording Office Farm bb8( C (Rev. 2 20041
CAT, NO 60025X