HomeMy WebLinkAbout12-2127Form 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 42
Lien Unit Phone: (800) 913-6050 857210712
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, 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
additional penalties, interest, and costs that may accrue.
:Z
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of Taxpayer BC MCALLISTER PAVING INC ` "
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a Corporation
Residence
5140 ERBS BRIDGE RD
MECHANICSBURG, PA 17050-2432
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,
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on the day following such date, operate as a certificate of release as defined a 1
M IRC 6325(a). 73??I
Tax Period Date of Last Dayy for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Re filing of Assessment
(a) (b) (c) (d) (e) (f)
941 09/30/2011 25-1876578 01/30/2012 03/01/2022 712.38
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 712.38
This notice was prepared and signed at DETROIT, MI
the 26th day of March 2012
, on this,
Signature Title
REVENUE OFFICER 22-06-1418
for JAKOB PEDERSEN _4m (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)(c) (Rev. 2-2004)
Part 1 -Kept By Recording Office CAT. NO 60025X