HomeMy WebLinkAbout10-7821Form b68 (Y){c)
(Rev, Fef~ruary 20Q4)
118
Department of the Treasury -Internal Fievenue Service
Notice of Federal Tax Lien
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: 1800) 913-6050 729699710 /V - 7~ / ~~%
a
As provided by section 6321, 6322, and b323 of the Internal Revenue
Gode, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made
a demand far 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 BRANDON A CLARK ~'
'
~
AUTOSPA DETAILING ~'
° ~;'
~
~ ~
Residence 13 2 2 SPRING RD ~
~ ~
-~~ ~ ~r r'~
CARLILE, PA 17013-1555 ~""~ '~ `~
~~ w.°~
~ ~;.
IMPORTANT RELEASE INFORMATION: For each assessment listed below, J9-ao
f'G~ M`me` ~
,~.~ , ~ '~=;~..
unless notice of the lien is refiled by the date given in column (e), this notice shall, ~~~ -~.r'
an the day fallowing such date, operate as a certificate of release as defined ~
~ ~ o," ~~' -`-"
in IRC 6325la).
°._~ :: *?
Tax Period Date of Last Dayy for unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b} (c) {d) (e) (f)
940 12/31/2009 26-2966695 06/14/2010 07/14/2020 230.18
941 03/31/2010 26-2966695 09/06/2010 1.0/06/2020 2601.80
941 06/30/2010 26-2966695 09/20/2010 1.0/20/2020 2085.17
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 0 $ 4 917.15
This notice was prepared and signed at
DETROIT, MI
the 08th day of December 2010
on this,
Signature Title
~~~ REVENUE OFFICER 22-06-1413
far LINDSEY O BOWLIN (717} 77'7-962:3
(NOTE: Certificate of officer authorized by law to take acknowledgment is not esse~ntia) to the validity of Notice of Federal Tax lien
Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form bb8{Y){e) {Rev. 2-20041
Part i -Kept By Recording Office CAT. NO 60025x