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Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien
(Rev. February 2004) 76.0?- 303F P?1-L
A Serial Number For Optional Use by Recording Office
rea:
SMALL BUSINESS/SELF EMPLOYED AREA #2 n Q??UU
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Lien Unit Phone: (800) 913-6050 543092309 .
As provided by section 6321, 6322, and 6323 of the Internal Revenue 33 a6
Code, we are giving a notice that taxes (including interest and penalties)
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 J H BRANDT & ASSOCIATES INC a Corpor ation
Residence 657 FORGE RD
JS w
CARLISLE, PA 17015-4367 , Oam -
IMPORTANT RELEASE INFORMATION: For each assessment listed below, F' ••
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 Daar?rr for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) M
940 12/31/2008 25-1824432 03/30/2009 04/29/2019 2355.65
941 12/31/2008 25-1824432 03/23/2009 04/22/2019 74143.05
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 76498.70
This notice was prepared and signed at
the 04th day of May
DETROIT, MI
2009
, on this,
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 668M(c) (Rev. 2-2004)
Part 1 - Kept By Recording Office CAT. NO 60025X