HomeMy WebLinkAbout08-2364Form 668 (Y)(c)
(Rev. February 2004)
477
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax Lien ~ OS~ ~ 3L Y ~"T L--
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 436192908
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including interest and penalties) j
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
property belonging to this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs that may accrue.
Name of Taxpayer JEM TRUSSES INC , a Corporation
Residence 112 0 B MOUNT ROCK ROAD
SHIPPENSBURG, PA 17257-8764
For Optional Use by Recording Office
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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 (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
Kind of Tax Ending Identifying Number Assessment Refiling
(a) (b) (c) (d) (e)
941 09/30/2007 59-3773397 12/31/2007 01/30/2018
Alace of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Unpaid Balance
of Assessment
4464.48
Total ~$ 4464.48
This notice was prepared and signed at DETROIT, MI
the 08th day of April 2008
on this,
Signature A Title
REVENUE OFFICER 22-06-1442
for DAVID M. SHROYER (717} 777-9625 x1320
(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) Form 668(Y)(c) (Rev. 2-2004)
Part 1 -Kept BY Recording Office CAT. NO 60025X