HomeMy WebLinkAbout08-0549Form 668 (Y)(c)
(Rev. February 2004)
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax Lien -~„ ~ ~~ ,~~q ~-r-r
A-ea: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
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Lien Unit Phone: (800) 913-6050 414706308 o
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As provided by section 632 t , 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including interest and penalties) ~
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have been assessed against the foAowing-named taxpayer. We have made ~: ' ~ ~ ls~S.i
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 c ., ^' ~-7
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 ROBERT E JACKSON JR - .
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JACKSONS AUTOMOTIVE -~ ``'
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Residence 1112 SLATE HILL ROAD ~ ~,. ~ ~'
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CAMP HILL, PA 17011-7823 _: =~ =s;?
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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 le), 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 Da
yy for unpaid Balance
Kind of Tax Ending Identifying Number Assessment ~
Refilling of Assessment
(a) Cb) (c) (d) e) (~
940 12/31/2003 23-2296489 12/17/2007 01/16/2018 203.12
940 12/31/2004 23-2296489 12/17/2007 01/16/2018 188.48
940 12/31/2005 23-2296489 12/17/2007 01/16/2018 117.64
941 12/31/2005 23-2296489 12/03/2007 01/02/2018 2231.74
941 09/30/2006 23-2296489 11/19/2007 12/19/2017 1329.67
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 4 0 7 0. 6 5
This notice was prepared and signed at
the 14th day of January
DETROIT, MI
2008
on this,
Signature ~ ~ ~r'Z~,~~QQ 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 - Z C.B. 409)
Part 1 -Kept BY Recording Office Form 668(Y)(c) (Rev. 2-2004)
CAT. NO 60025X