HomeMy WebLinkAbout11-8641Form 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) 913-6050 827026311
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 7-M a M-
additional penalties, interest, and costs that may accrue. -
5; ;0 -
Name of Taxpayer CUSTOM MAINTENANCE SERVICES INC -< --4Cj
3
Residence
8 EVERLAST DR
NEWVILLE, PA 17241-8675 ?s CO
CO
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). APk-A 03?
Tax Period Date of Last Dayy for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refil ing of Assessment
(a) (b) (c) (d) (e ) (f)
941 06/30/2011 46-0470389 08/29/2011 09/28/2021 13901.66
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 13901.66
This notice was prepared and signed at
the 07th day of November
DETROIT, MI
2011
, on this,
Signature A.JLC` 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) Form 668(Y)(e) (Rev. 2-2004)
Part 1 - Kept By Recording Office CAT. NO 60025X