HomeMy WebLinkAbout04-3342Form 668
(Rev. Februery 2004)
Area: ~ Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #3
Lien Unit Phone: (412) 395-5265 180177904
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 DOE & JERRYS, INC , a Corporation
Residence
1008
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
For Optional Use by Recording Office
902 N FRONT ST
WORMSLYSBURG, PA 17043-0000
IMPORTANT RELEASE INFORI~ATION: 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 Dareof Last Day~r
~nd of Tax Ending Identifying Number Assessment Retiring
(a) (b) (c) (d) (e)
940 12/31/2000 25-1845930 02/25/2002 03/26/2012
941 03/31/2000 25-1845930 12/04/2000 01/03/2011
941 12/31/2000 25-1845930 02/11/2002 03/12/2012
941 03/31/2001 25-1845930 02/11/2002 03/12/2012
941 06/30/2001 25-1845930 02/11/2002 03/12/2012
941 09/30/2001 25-1845930 02/18/2002 03/19/2012
941 12/31/2001 25-1845930 03/11/2002 04/10/2012
941 12/31/2002 25-1845930 03/31/2003 04/30/2013
941 03/31/2003 25-1845930 07/07/2003 08/06/2013
941 06/30/2003 25-1845930 10/06/2003 11/05/2013
941 12/31/2003 25-1845930 04/05/2004 05/05/2014
Unpaid Balance
of Assessment
(0
693 41
3116 29
6816 12
15821 52
19200 71
28355 94
11042 14
2048.21
7551.03
4916.26
1917.79
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total .~ 101479.42
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the 01st day of July 2004
Signatur~ . .3~ ~.?.4~/F~L Title
for ~~=~ER /~ REVENUE OFFICER 23-11-1439
(717) 221-3490
(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(¥)(¢) (Rev. 2-2004)
Part I - Kept By Recording Office CAT. NO 60025X