HomeMy WebLinkAbout12-1794Form 668 (Y)(c)
(Rev. February 2004)
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
854701512
As provided by section 6321, 6322, and 6323 of the Internal Revenue 7, /= TG
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.
_
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Name of Taxpayer KIM W BRENNEMAN-STRICKLAND
KIMEB & CO STUDIO FOR HAIR rr - c;
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Residence
200 S SPRING GARDEN STREET _
CARLISLE, PA 17013-2578
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
1
oZt- v ?W. _
in IRC 6325(a). )217 a ]-
Kind of Tax
(a) Tax Period
Ending
(b)
Identifying Number
(c) Date of
Assessment
(d) Last Dayy for
Refiling
(e) Unpaid Balance
of Assessment
(f)
941 09/30/2007 20-8370225 03/31/2008 04/30/2018 6116.10
941 12/31/2007 20-8370225 04/21/2008 05/21/2018 4224.09
941 06/30/2008 20-8370225 09/15/2008 10/15/2018 3110.81
941 12/31/2008 20-8370225 04/06/2009 05/06/2019 4979.72
941 09/30/2011 20-8370225 01/09/2012 02/08/2022 143.15
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 18573.87
This notice was prepared and signed at DETROIT, MI
the 13 th day of March 2012
, on this,
Signature Title
REVENUE OFFICER 22-06-1418
for JAKOB PEDERSEN -4ff4?? (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.R. 4091
Form 668(Y)(c) (Rev. 2-2004)
Part 1 -Kept By Recording Office CAT. NO 60025X