HomeMy WebLinkAbout10-5325Form 668 (Y)(c)
(Rev. February 2004)
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 685626610
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 penakies, interest, and costs that may accrue.
Name of Taxpayer- BISHOP PAPER CV , AN
H LESLIE BISHOP MBR
Residence PO BOX 462
CAMP HILL, PA 17001-0462
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).
For Optional Use by Recording Office
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14.00 pd, azl? ° ?
k* .2 44771
Kind of Tax
(a Tax Period
Ending
b)
Identifying Number
c) Date of
Assessment
d) Last Day for
Refing
(e) Unpaid Balance
of Assessment
(f)
941, 09/30/2007 20-8911959 06/07/2010 07/07/2020 3174.70
941 06/30/2008 20-8911959 06/07/2010 07/07/2020 1967.69
941 09/30/2008 20-8911959 06/07/2010 07/07/2020 1967.69
941 12/31/2008 20-8911959 06/07/2010 07/07/2020 1967.69
941 03/31/2009 20-8911959 06/07/2010 07/07/2020 2327.96
941 06/30/2009 20-8911959 06/07/2010 07/07/2020 1899.59
941 09/30/2009 20-8911959 06/07/2010 07/07/2020 2216.19
941 12/31/2009 20-8911959 06/07/2010 07/07/2020 1899.59
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 17421.17
This notice was prepared and signed at
the 04th day of August
DETROIT, MI
, on this,
2010
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 i ax 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