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HomeMy WebLinkAbout11-8467 11883 Department of the Treasury - Internal Revenue Service Form 668 (Y)(c) Notice of Federal Tax Lien (Rev. February 2004) Area: Serial Number For Optional Use by Recording Office SMALL BUSINESS/SELF EMPLOYED AREA #2 Lien Unit Phone: (800) 913-6050 825571811 As provided by section 6321, 6322, and 6323 of the internal Revenue Code, we are giving a notice that taxes (including interest and penalties) c-> have been assessed against the following-named taxpayer. We have made ? _°' a demand for payment of this liability, but it remains unpaid. Therefore, rn ?e =C-T, there is a lien in favor of the United States on all property and rights to 2X - ? -or=- property belonging to this taxpayer for the amount of these taxes, and cnl -- Mrn ° additional penalties, interest, and costs that may accrue. A o © -- ,, Name of Taxpayer CREEKSIDE WOODWORKS LLC 3 CD O THOMAS J MARTIN MBR z cj Residence 8919 ROWE RUN RD SHIPPENSBURG, PA 17257-9339 7 NT RELEASE INFORMATION: For each assessment listed below, IMP0 / .630 unlese of the lien is refiled by the date given in column (e), this notice shall, : on thfollowing such date, operate as a certificate of release as defined in IR5(a) . Tax Period Date of Last Day for Unpaid Balance Kind of Tax Ending Identifying Number Assessment Reflling of Assessment (a) (b (c) (d) (e) M 941 12/31/2008 20-5580687 04/06/2009 05/06/2019 94.97 941 03/31/2009 20-5580687 07/04/2011 08/03/2021 2592.10 941 06/30/2009 20-5580687 07/04/2011 08/03/2021 3564.01 941 09/30/2009 20-5580687 06/27/2011 07/27/2021 1378.75 941 12/31/2009 20-5580687 04/12/2010 05/12/2020 783.47 941 03/31/2010 20-5580687 06/20/2011 07/20/2021 2290.94 941 06/30/2010 20-5580687 06/20/2011 07/20/2021 2428.03 941 09/30/2010 20-5580687 07/11/2011 08/10/2021 3147.36 Place of Filing Prothonotary Cumberland County Carlisle, PA 17013 Total 1$ 16279.63 This notice was prepared and signed at DETROIT, MI the 01st day of November 2011 , on this, Signature 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 Tax lien Rev. Rul. 71-466, 1971 - 2 C.B. 409) Part 1 - Kept By Recording Office Form 668(Y)(c) JRev. 2-20041