HomeMy WebLinkAbout09-2781Form 668 (Y)(c)
(Rev. February 2004)
480
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien .1Q -),7 Pi C r)
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050
539251909 AP t19_?
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As provided by section 6321, 6322, and 6323 of the Internal Revenue Ck y5c1 S
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made .? a y6 d 7
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 CZ) -
property belonging to this
taxpayer for the amount of these taxes, and
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additional
penalties, Interest, and costs that may accrue. a corporation -''
Name of Taxpayer LEAHYS AUTO COLLISION REPAIR INC I+
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Residence 1051 COLUMBUS AVE
LEMOYNE, PA 17043-1715 v
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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(x).
Tax Period Date of Last D for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilling of Assessment
(a) (b) (c) d (e) M
941 09/30/2008 25-1834815 01/05/2009 02/04/2019 4981.15
941 12/31/2008 25-1834815 03/30/2009 04/29/2019 5461.45
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 10442.60
This notice was prepared and signed at
the 22nd day of April
DETROIT, MI
2009
, on this,
Signature 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 I - Kept By Recording Office (-AT NO gnn? ;v