HomeMy WebLinkAbout10-3591883
Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c)
(Rev. February 2004)
Notice of Federal Tax Lien ID - 3941
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA 42
Lien Unit Phone: (800) 913-6050 659640910
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 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 MARY E HOOPER
CRIMSON FROG COFFEEHOUSE
Residence 1104 CARLISLE ROAD
CAMP HILL, PA 17011-6203
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
(a)
6721
940
941
941
941
941
941
941
941
941
Place of Filing
Tax Period Date of
Ending Identifying Number Assessment
(h) (c) (d)
12/31/2006
12/31/2007
12/31/2006
03/31/2007
06/30/2007
09/30/2007
12/31/2007
03/31/2008
06/30/2008
09/30/2008
20-1551268
20-1551268
20-1551268
20-1551268
20-1551268
20-1551268
20-1551268
20-1551268
20-1551268
20-1551268
Prothonotary
Cumberland County
Carlisle, PA 17013
09/21/2009
02/01/2010
02/01/2010
02/01/2010
02/01/2010
02/01/2010
02/01/2010
02/01/2010
02/01/2010
02/01/2010
3211.20
392.06
3603.08
3594.09
3579.65
3561.89
3543.70
3531.78
3899.30
3899.23
Total 1$ 32815.98
This notice was prepared and signed at
the 25th day of May
DETROIT, MI
Unpaid Balance
of Assessment
2010
, on this,
Signature Title
A REVENUE OFFICER. 22-06-1418
for JAKOB PEDERSEN (717) 777-9621
For Optional Use by Recording Office
*14.00 PD PUFF
C*- I D34D I
paq&93j g
0
-0W G ?
CID
W
Last Day for
Refiling
(e)
10/21/2019
03/02/2020
03/02/2020
03/02/2020
03/02/2020
03/02/2020
03/02/2020
03/02/2020
03/02/2020
03/02/2020
(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