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HomeMy WebLinkAbout08-3586 6152 Department of the Treasury -Internal Revenue Service Form 668 (Y)(c) Notice Of Federal Tax Lien , ' L ~ (Rev. February 2004) - ©8- G 35 ~ fi Serial Number For Optional Use by Recording Office Area: SMALL BUSINESS/SELF EMPLOYED AREA #2 / *~ ~~/~ ~ Lien Unit Phone: (800) 913-6050 448684008 - As provided by section 6321, 6322, and 6323 of the Internal Revenue ~ ~i ~ ~ Code, we are giving a notice that taxes (including interest and penalties) d ~ ~~D ~ 7 ~ e have been assessed against the following-named taxpayer. We have ma 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 roperty belonging to this taxpayer for the amount of these taxes, and n ~ ~ o - p additional penalties, interest, and costs that may accrue. ~ '°" " Name of Taxpayer ROBERT E JACKSON JR ~ ~ ~ -:~ 1-" ~ JACKSONS AUTOMOTIVE ' r -- Residence 1112 SLATE HILL ROAD '' °` - - 4. f~, .._ ~' '~ ~" ~ -=~ [j ~ CAMP HILL, PA 17011-7823 `~~ ' ` rv U~' c~ 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(a1. Tax Period Date of Last D for ~ Unpaid Balance Kind of Tax- Ending Identifying Number Assessment Refi ng of Assessment a) (b) (c) (d) (e) (~ 941 03/31/2006 23-2296489 03/03/2008 04/02/2018 4863.90 Place of Filing Prothonotary Cumberland County Carlisle, PA 17013 This notice was prepared and signed at the 04th day of June DETROIT, MI Total ~$ 4863.90 on this, 2008 Signature A Title 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) Form 668(ln(c) (Rev. 2-2004) Part 1 -Kept fay Recording Office CAT. NO 60025X