HomeMy WebLinkAbout11-0412Form 668 (Y)(c)
(Rev. February 2004)
11883
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
Lien Unit Phone: (800) 829-3903 739491711
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ed 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, r
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 -= T -
additional penalties, interest, and costs that may accrue . '
Name of Taxpayer JIGSY S INC, a Corporation
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Residence 225 N ENOLA DR ., ^=r
ENOLA, PA 17025 a
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NT RELEASE INFORMATION: For each assessment listed below,
e of the lien is refiled by the date given in column (e), this notice shall,
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following such date, operate as a certificate of release as defined r
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IRC
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Tax Peri od Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (f)
941 12/31/2009 20-2123258 04/12/2010 05/12/2020 5993.92
941 03/31/2010 20-2123258 06/28/2010 07/28/2020 3869.94
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 9863.86
This notice was prepared and signed at DETROIT, MI
the 06th day of January 2011
, on this,
Signature Title
ACS 22-00-0001
for FRED BANKS (800) 829-3903
(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)
Part 1 - Kept By Recording Office Form 668(Y)(c) (Rev. 2-2004)
CAT. NO 60025X