HomeMy WebLinkAbout10-1839Form 668 (Y)(c)
(Rev. February 2004)
447
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) 913-6050
630875010 .. ,?
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As provided by section 6321, 6322, and 6323 of the Internal Revenue yl
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Code, we are giving a notice that taxes (including Interest and penalties)
have been assessed against the following-named taxpayer. We have made
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a demand for payment of this liability, but It remains unpaid. Therefore, 0
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there is a lien in favor of the United States on all property and rights to nnnn
property belonging to this taxpayer for the amount of these taxes, and f19. UO CL
additional penalties, interest, and costs that may accrue.
Name of Taxpayer ROBIN PRIFER
CREATIVE LOOKS STYLING SALON
Residence 3808 GETTYSBURG RD
CAMP HILL, PA 17011-6808
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
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n I 6325(a).
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Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refil ing of Assessment
(a) b) (c d) (e ) W
941 09/30/2009 25-1777232 12/28/2009 01/27/2020 4155.27
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Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 4155.27
This notice was prepared and signed at DETROIT, MI
the 03rd day of March 2010,
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, on this,
Signature -)? A Title
REVENUE OFFICER 22-06-1418
for JAKOB PEDERSEN (717) 777-9621
(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