HomeMy WebLinkAbout10-6950Form 668 (Y)(c)
(Rev. February 2004)
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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
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As provided by section 6321, 6322, and 6323 of the Internal Revenue
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Code, we are giving a notice that taxes (including interest and penalties)
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have been assessed against the following-named taxpayer. We have made Z.5
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a demand for payment of this liability, but it remains unpaid. Therefore, ; U rv `
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 = -g
additional penalties, interest, and costs that may accrue.
Name of Taxpayer JACKSON MECHANICALS INC, a Corporation
Residence 29 RADAM ST
ENOLA, PA 17025-2169
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 Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Ref iling of Assessment
(a) (b) (c) (d) ( e) (f)
941 06/30/2010 25-1786422 09/20/2010 10/20/2020 13142.26
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 13142.26
This notice was prepared and signed at
the 25th day of October
DETROIT, MI
2010
, on this,
Signature Title
REVENUE OFFICER 22-06-1407
for SEAN DUNLEAVY (717) 777-9626
(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
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