HomeMy WebLinkAbout08-0548Form 668 (Y)(c)
(Rev, February 20041
6
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax Lien ~,~^ ~ Q_ ,~y ~ ~'rL
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050
414706208
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As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including interest and penalties) ~ ,a ~ 9G
have been assessed against the following-named taxpayer. We have made ~ ,~ ~ 3 YS y
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
property belonging to this taxpayer for the amount of these taxes, and `-~' ~
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additional
penalties, interest, and costs that may accrue. cLL
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Name of Taxpayer ROBERT E JACKSON JR - .;~ gin`
JACKSONS AUTOMOTIVE ;.,~
Residence 1112 SLATE HILL ROAD ~
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CAMP HILL, PA 17011-7823 - - _
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, ~
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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 Dayy for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (f)
941 06/30/2001 23-2296489 . 11/12/2007 12/12/2017 973.46
941 03/31/2002 23-2296489 11/12/2007 12/12/2017 522.42
941 06/30/2002 23-2296489 12/24/2007 01/23/2018 4493.85
941 09/30/2002 23-2296489 11/12/2007 12/12/2017 2295.26
941 12/31/2002 23-2296489 11/12/2007 12/12/2017 1265.55
941 03/31/2003 23-2296489 12/17/2007 01/16/2018 6234.85
941 06/30/2003 23-2296489 12/24/2007 01/23/2018 8381.06
941 09/30/2003 23-2296489 12/24/2007 01/23/2018 7748.69
941 12/31/2003 23-2296489 12/24/2007 01/23/2018 7554.54
941 03/31/2004 23-2296489 12/17/2007 01/.16/2018 7545.75
941 06/30/2004 23-2296489 12/24/2007 01/23/2018 7491.95
941 09/30/2004 23-2296489 12/17/2007 01/16/2018 7780.97
941 12/31/2004 23-2296489 11/12/2007 12/12/2017 2844.24
941 06/30/2005 23-2296489 11/19/2007 12/19/2017 2449.80
941 09/30/2005 23-2296489 12/03/2007 01/02/2018 2505.33
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 70087.72
This notice was prepared and signed at
DETROIT, MI
the 14th day of January 2008
on this,
Signature ~ y ~/~ REVENUE OFFICER 22-06-1450
for JEFFREY WHITE (717) 777-9623 x1300
(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 t -Kept BY Recording Office Form 668(Y)(c) (Rev. 2-2004)
CAT. NO 60025X