HomeMy WebLinkAbout10-2033Form 668 (Y)(c)
(Rev. February 2004)
447
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien to _ 6L033
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 829-3903 634681810
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have nude
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 PROFESSIONAL INSURANCE SERVICES INC
a Corporation
Residence 1023 MUMMA RD
LEMOYNE, PA 17043-1164
For Optional Use by Recording Office
Pty Pu=p- * 14.00
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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(a).
Tax Period Date of Last Dfor
Kind of Tax Ending Identifying Number Assessment Refi ng
940 12/31/2006 23-1674479 111/10/20081 12/10/2018
Place of Filing
5883.06
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 5883.06
This notice was prepared and signed at
the 16th day of March
DETROIT, MI
2010
on this,
Signature I A \y'I? Title
ACS 22-00-0008
for MICHAEL W. COX (800) 829-3903
W
J i
?
2
a,
Unpaid Balance
of Assessment
(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)
Part 1 - Kept By Recording Office Form 668M(c) (Rev. 2-2004)
CAT. NO e0025`C