HomeMy WebLinkAbout09-8703Form 668 (Y)(c)
(Rev. February 2004)
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 829-3903 606869209 ?`r•1
09 -8
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As provided by section 6321, 6322, and 6323 of the Internal Revenue V// Q, CUC> hit L
Code, we are giving a notice that taxes (including interest and penalties) C K ?S
have been assessed against the following-named taxpayer. We have made
a demand for payment of this liability, but it remains unpaid. Therefore,
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ere is a lien in favor of the United States on all property and rights to a
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property belonging to this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs that may accrue.
Name of Taxpayer DOUGHERTY HOME IMPROVEMENTS INC
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Residence 4345A CARLISLE PIKE co
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CAMP HILL, PA 17011-4128
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).
Kind of Tax Tax Period
Ending
Identifying Number Date of
Assessment Last D for
Refing Unpaid Balance
of Assessment
(a) (b) (c) (d) (e) (f)
941 12/31/2007 81-0636767 03/24/2008 04/23/2018 314.69
941 03/31/2008 81-0636767 06/30/2008 07/30/2018 336.16
941 06/30/2008 81-0636767 09/29/2008 10/29/2018 9056.92
941 12/31/2008 81-0636767 10/05/2009 11/04/2019 12423.75
CIVP 12/31/2006 81-0636767 09/21/2009 10/21/2019 6134.40
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total J$ 28265.92
This notice was prepared and signed at DETROIT, MI
the 11th day of December 2009
Signature A \Y7'L? Title
ACS 22-00-0008
for MICHAEL W. COX (800) 829-3903
, on this,
(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