HomeMy WebLinkAbout12-3652Form 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 871045812
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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,
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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.
Name of Taxpayer DOUGHERTY CONSTRUCTION COMPANY, AN LLC -?-,--, :X
Residence 4345 A CARLISLE PIKE -
CAMP HILL, PA 17011
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, Del S? 7
on the day following such date, operate as a certificate of release as defined
in IRC 6325(a). ZZ 7GS??
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilling of Assessment
(a) (b) (c) d) (e) (f)
941 09/30/2011 27-2932688 01/09/2012 02/08/2022 197.88
941 12/31/2011 27-2932688 04/02/2012 05/02/2022 3321.60
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 3519.48
This notice was prepared and signed at DETROIT, MI
the 3 0th day of May 2012
, on this,
Signature Title
?\ Q-40-r' REVENUE OFFICER 22-06-1407
for SEAN DUNLEAVY (717) 777-9626
(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